ALVIN P. SHAPIRO, M.D.
In few somatic disorders is the potent impact of emotional stimuli more generally appreciated than in hypertensive vascular disease. Terms such as psychogenic hypertension, neurogenic hypertension, hypertensive personality, vascular stress, repressed hostility and autonomic nervous system lability have developed and are employed commonly. Yet precisely what these terms mean, what the qualitative and quantitative relationships of the emotions to blood pressure are, and what significant contributions to understanding the basic mechanisms of hypertension are made by the study of psychological forces, comprise questions which have not been answered in any systematic fashion. It is little wonder, therefore, that most investigators
SHAPIRO AP. PSYCHOPHYSIOLOGIC MECHANISMS IN HYPERTENSIVE VASCULAR DISEASE*. Ann Intern Med. 1960;53:64–83. doi: https://doi.org/10.7326/0003-4819-53-1-64
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Published: Ann Intern Med. 1960;53(1):64-83.
Cardiology, Coronary Risk Factors, Hypertension, Nephrology.
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