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Mechanism of Pressor Response in Medical House Officers On Call

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▸Requests for reprints should be addressed to Robert J. Anderson, M.D.; Department of Medicine, Veterans Administration Medical Center, 1055 Clermont; Denver, CO 80220.

University of Colorado Health Sciences Center and Veterans Administration Medical Center; Denver, Colorado

Ann Intern Med. 1987;106(4):560-561. doi:10.7326/0003-4819-106-4-560
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Being "on call" is a tradition in medical training programs. Some of the effects of being on call on house officer behavior include altered mood, decreased vigor, and impaired electrocardiographic recognition of arrhythmias (1-3). However, little information is available regarding its physiologic effects. We used noninvasive automatic portable blood pressure monitors to measure the effect on blood pressure and to elucidate the mechanism of the observed pressor response in house officers on call.

Eleven white medical house staff (3 women and 8 men) with an average age of 28 years (range, 26 to 30) were randomly chosen to participate in


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