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Psychosomatic Medicine, Vol 45, Issue 5 417-423, Copyright © 1983 by American Psychosomatic Society

ORIGINAL ARTICLES

The influence of beta blockers on cardiovascular reactivity and Type A behavior pattern in hypertensives

R Schmieder, G Friedrich, H Neus, H Rudel and AW von Eiff

The influence of beta blockers on Type A behavior pattern and cardiovascular reactivity was tested. Nineteen white, male hypertensive patients were divided at random into two therapeutic groups (100 mg atenolol versus 50 mg hydrochlorothiazide + 5 mg amiloride (control group) ). For each patient, the German version of the structured interview was performed before therapy and at a minimum of 4 weeks after normalization of clinical resting casual blood pressure (BP). Prior to therapy, there were no differences in age, BP at rest, cardiovascular reactivity, and Type A between the two groups. After therapy, the patients treated with beta blockers changed Type A characteristics toward Type B, regardless where they started on the Type A scale, and beta blockers attenuated cardiovascular reactivity. In this study, Type A (hypertensive patients) was not associated with greater cardiovascular reactivity.




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Copyright © 1983 by the American Psychosomatic Society