Relationship between depression and hypertension

Depression increases the risk for uncontrolled hypertension

relationship between depression and hypertension

Independent studies on major depressive disorder (MDD) and hypertension, The association between white matter (WM) volumes and depression has been. Despite the high prevalence of depression and hypertension, the relationship between the two diseases has received little attention. This paper. But the CDC study suggests that the connection between mood and hypertension may be more direct than that. Experts suspect that anxiety and depression put.

You don't need to measure your blood pressure to know that a heated argument or a walk down a dark alley can send that pressure soaring. Your pounding heart and flushed face say it all. Stress can temporarily boost blood pressure: For instance, some people have short-term hikes in blood pressure when they visit a doctor's office. Fortunately, these spikes in pressure are usually too fleeting to threaten your health.

But when emotional turmoil becomes a way of life, your blood pressure can take a dangerous, long-term climb. Researchers at the Centers for Disease Control and Prevention CDC provide evidence that depression and severe anxiety may increase a person's risks for developing hypertension.

The landmark CDC study got its start in the early s with thorough psychological testing of nearly 3, adults with normal blood pressure. When researchers checked the blood pressure and medical records of the subjects between seven and 16 years later, they spotted a remarkable trend: People suffering from either severe depression or anxiety at the start of the study were two to three times more likely than the others to develop hypertension.

The researchers had made adjustments for smoking, age, history of heart disease, and other factors to arrive at the results. For the first time, researchers could see that depression and hypertension -- two of the most pervasive and costly conditions in America -- were intimately related. Since then, other investigations have found connections between hypertension and psychological distress. British researchers reported that patients with hypertension were particularly likely to have a history of panic attacks, or sudden feelings of terror that strike repeatedly and unexpectedly.

Basal and desipramine-induced alterations in plasma norepinephrine kinetics. Sleep disorders and anxiety as symptom profiles of sympathoadrenal system hyperactivity in major depression.

Plasma neurotransmitters, blood pressure, and heart rate during supine-resting, orthostasis, and moderate exercise conditions in major depressed patients. A correlational study of cardiovascular autonomic functioning and unipolar depression.

Association of depression with reduced heart rate variability in coronary artery disease. Cardiovascular tests of autonomic function and sympathetic skin responses in patients with major depression. J Neurol Neurosurg Psychiatry. Depression, heart rate variability, and acute myocardial infarction.

relationship between depression and hypertension

Heart rate variability in patients with coronary artery disease: Diminished chaos of heart rate time series in patients with major depression. Change in heart rate and heart rate variability during treatment for depression in patients with coronary artery disease. Perspectives on the relationship between cardiovascular disease and affective disorder. Increases in heart rate variability with successful treatment in patients with major depressive disorder. Autonomic correlates of antidepressant treatment using heart-rate variability analysis.

Cardiovascular variability in major depressive disorder and effects of imipramine or mirtazapine Org Cardiac autonomic control buffers blood pressure variability response to challenge: A psychophysiologic model of coronary artery disease.

Arterial endothelial function is impaired in treated depression.

  • Depression and High Blood Pressure
  • Depression increases the risk for uncontrolled hypertension
  • The relationship between hypertension and anxiety or depression in Hong Kong Chinese

Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. A review of the epidemiologic evidence.

Muscle and skin sympathetic nerve traffic during the "white-coat" effect.

relationship between depression and hypertension

Baseline and reactivity measures of blood pressure and negative affect in borderline hypertension. Nonpharmacologic approaches to the treatment of hypertension.

Hypertension and depression.

Blood pressure lowering during the working day. Depressive symptoms are related to higher ambulatory blood pressure in people with a family history of hypertension.

Lafer B, Vallada Filho H. Family history of hypertension: Hypertension and insulin resistant models have divergent propensities to learned helpless behavior in rodents.

relationship between depression and hypertension

Involvement of angiotensin-converting enzyme inhibition in reversal of helpless behavior evoked by perindopril in rats. Depressive symptoms and metabolic risk in adult male twins enrolled in the national heart, lung, and blood institute twin study.

Am J Geriatr Psychiatry. Depressive symptomatology and hypertension-associated morbidity and mortality in older adults. Change in depression as a precursor of cardiovascular events. Prospective study of depressive symptoms and risk of stroke among japanese. Depression and risk of heart failure among older persons with isolated systolic hypertension. Depression and cardiac mortality: Exaggerated platelet reactivity in major depression. Platelet cytosolic calcium hyperresponsivity to serotonin in patients with hypertension and depressive symptoms.

A controlled study of MRI signal hyperintensities in older depressed patients with and without hypertension. J Am Geriatr Soc. Cardiovascular safety in depressed patients: Effects of Venlafaxine on blood pressure: Effects of desipramine on sympathetic nerve firing and norepinephrine spillover to plasma in humans.

There was a problem providing the content you requested

Fluoxetine hydrochloride for the treatment of severe refractory orthostatic hypotension. Use of sertraline hydrochloride in the treatment of refractory neurocardiogenic syncope in children and adolescents.

J Am Coll Cardiol. Usefulness of fluoxetine hydrochloride for the prevention of resistant upright tilt induced syncope.

Use of serotonin reuptake inhibitors for the treatment of recurrent syncope due to carotid sinus hypersensitivity unresponsive to dual chamber cardiac pacing. Comparison of risk of orthostatic hypotension in elderly depressed hypertensive women treated with nortriptyline and thiazides versus elderly depressed normotensive women treated with nortriptyline.

A French study of the elderly in the community 4 revealed that hypertension was associated with anxiety but not depression. On the other hand, a longitudinal study of male-male twins 5 showed that hypertension was associated with depression, suggesting that there are common genetic factors that predispose individuals to hypertension and depression. Indeed, depressed persons have been shown to have increased ambulatory blood pressure compared with control subjects 6.

These results are still controversial because of a number of reports demonstrating the contrary. In a study by Friedman et al 7the predictive significance of psychological factors was negligible in the causation of mild hypertension.

In addition, Shinn et al 8 did not find a significant role for anxiety or depression in the development of hypertension. In Asian countries, data on the association between hypertension and anxiety or depression are scarce. In China, hypertension affects approximately million individuals 9.

Hypertension and depression

Because hypertension is a common disease in the community, there is a need to investigate the prevalence of anxiety and depression in these patients. Anxiety and depression may predispose individuals to develop hypertension but may also be a consequence of the disease. The objective of the present study was to examine the association between hypertension and anxiety or depression in adults from Hong Kong.

The null hypothesis was that there was no difference in the degree of anxiety or depression in subjects with and without hypertension. One hundred seventy-three subjects with hypertension were recruited from the hypertension outpatient clinic of Queen Mary Hospital Hong Konga university teaching hospital.

The exclusion criteria were subjects with secondary hypertension, with clinical depression or taking antidepressants, with clinical anxiety or taking anxiolytics, with other psychiatric disorders, such as schizophrenia, and those who had been receiving any kind of treatment known to increase blood pressure or induce anxiety or depression. The participation rate was Of the subjects with hypertension, five did not answer all of the questions.

The control group comprised normotensive subjects recruited from the general population using random telephone numbers.

relationship between depression and hypertension