Mental stress and hypertension, an evolutionary framework: some historical perspectives of the 1960 World Health Organization Prague Hypertension Meeting.

Abstract:

:Emotional stress acutely and repetitively causing blood pressure increase or aggravating existing hypertension is usually not reflected by norepinephrine and epinephrine increase but by a sudden rise of dopamine, the third "defensive" catecholamine coping with the damaging neuropsychological and cardiovascular actions of the first two. This double-edged sympathetic response to emotional stress evolves during human lifespan and long-term evolution of hypertension. In the course of philogenesis it carries a potential mismatch between the normal physiology of the human dopaminergic system and current environmental (emotional particularly) conditions in industrialized countries. This offers a rational support to a mental stress-cardiovascular diseases relationship proposed 40 years ago in a WHO report which followed a memorable 1960 Prague Hypertension Meeting.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Kuchel O

doi

10.1097/01.hjh.0000052462.40108.fb

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

639-41

issue

3

eissn

0263-6352

issn

1473-5598

journal_volume

21

pub_type

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