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Hypertension and emotional stress has been discussed from various standpoints. We realized the importance of the situationai effect on blood pressure, especially at mass examination. For this study, w...e chose 53 homogenous male hypertensives (20-22 years old). Systolic blood pressure (SBP) was over 150 mm Hg, diastolic blood pressure (DBP) over 90 mm Hg. They were the "virgin cases" picked up from 2879 university students through annual health survey. For this study five different phases with the span of three months were set up and the change of blood pressure and heart rate was recorded. At the second phase, which means the first recall for the further examination , most of the examinees showed significantly higher blood pressure and heart rate, which was sustained through next phase III, and IV. In phase II to IV blood pressure was measured by three doctors. However, both blood pressure and heart rate decreased within the normal limit after an interview and orientation on hypertension by a doctor in the relaxed mood. At first phase, most of them showed systolic hypertension with tachycardia over 100 per minute (90% of all), of which type varied afterwards ; high blood pressure with SBP and DBP increased as well as that of SBP. It is of interest that DBP increased at the second phase, being sustained throughout the following phases. DBP was less influenced even after doctor's interview in the relaxed mood. These phenomena might be the characteristics in juvenile labile hypertension. Thus, the screening of the hypertensives should include blood pressure measurement after appropriate interval under relaxed doctor-patient relationship.続きを見る
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