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- Title
Blood Pressure Reactivity to an Anger Provocation Interview Does Not Predict Incident Cardiovascular Disease Events: The Canadian Nova Scotia Health Survey (NSHS95) Prospective Population Study.
- Authors
Shaffer, Jonathan A.; Wasson, Lauren Taggart; Davidson, Karina W.; Schwartz, Joseph E.; Kirkland, Susan; Shimbo, Daichi
- Abstract
We examined the association between blood pressure (BP) reactivity to an anger provocation interview and 10-year incident CVD events in 1,470 adults from the population-based 1995 Nova Scotia Health Survey (NSHS95). In an unadjusted model, those in the highest decile of systolic BP reactivity were more than twice as likely to have an incident CVD event compared to those in the decile with no reactivity (HR = 2.33, 95% CI = 1.15 - 4.69, P = 0.02). However, after adjusting for age and sex, and then also for Framingham risk score, bodymass index, and education, this relationship was attenuated and not statistically significant. Diastolic BP reactivity was not associated with CVD incidence in any model. Individual differences in BP reactivity to a laboratory-induced, structured anger provocation interview may not play a major role in clinical CVD endpoints.
- Subjects
CARDIOVASCULAR disease diagnosis; MEDICAL needs assessment; ANGER; BLOOD pressure; BLOOD pressure measurement; CHI-squared test; CHOLESTEROL; HIGH density lipoproteins; HYPERTENSION; INTERVIEWING; LONGITUDINAL method; LOW density lipoproteins; POPULATION; SMOKING; PSYCHOLOGICAL stress; SURVEYS; DATA analysis; BODY mass index
- Publication
International Journal of Hypertension, 2012, p1
- ISSN
2090-0384
- Publication type
Article
- DOI
10.1155/2012/658128