Sb. Miller et al., PARENTAL HISTORY OF HYPERTENSION AND CARDIOVASCULAR-RESPONSE TO STRESS IN BLACK-AND-WHITE MEN, International journal of behavioral medicine, 2(4), 1995, pp. 339-357
White offspring of hypertensives typically exhibit an elevated cardiov
ascular response to stress. Studies of Black offspring of hypertensive
s have been fewer, with inconsistent results. This may be due, in part
, to incomplete characterizations of hemodynamic responses. This study
examines cardiovascular reactivity in Black and White offspring of hy
pertensives with a particular focus on vascular resistance responses.
A total of 62 healthy normotensive men, 41 with a parental history of
hypertension (PH+: 21 Blacks, 20 Whites), and 21 without parental hype
rtension (PH-: 7 Blacks, 14 Whites) engaged in a series of laboratory
tasks. Both Black and White PH+ participants exhibited elevated diasto
lic blood pressure (DBP) responses, but to different patterns of stres
sor tasks. Familial differences in total peripheral resistance respons
e were also obtained for Black and White participants in a comparison
across all tasks, but were particularly evident in tasks when PH+ part
icipants had elevated DBP responses. These results suggest that a pare
ntal history of hypertension is an important moderator of cardiovascul
ar, and in particular peripheral vascular, responses to stress in Blac
k and White individuals.