Online citations, reference lists, and bibliographies.

The Impact Of Posttraumatic Stress Disorder On Blood Pressure And Heart Rate In A Veteran Population.

E. Paulus, T. Argo, Jason A Egge
Published 2013 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Hyperarousal is a hallmark of posttraumatic stress disorder (PTSD). PTSD has been associated with increased blood pressure (BP) and heart rate (HR) in veteran populations. We retrospectively identified male patients consulted to outpatient psychiatry at the Iowa City Veterans Affairs Healthcare System. Patients were divided into PTSD (n = 88) and non-PTSD (n = 98) groups. All PTSD patients and a subset of non-PTSD patients had documented blast exposure during service. The study investigated whether patients with PTSD had higher systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) than patients without PTSD. The effect of trauma exposure on BP was also examined. Mean SBP (133.8 vs. 122.3 mm Hg; p < .001), DBP (87.6 vs. 78.6 mm Hg; p < .001), and HR (78.9 vs. 73.1 bpm; p < .001) were all significantly higher in the PTSD group. Trauma-exposed patients without PTSD had significantly higher BP than nonexposed patients. The prevalence of hypertension (HTN) was 34.1% (diagnosed and undiagnosed) among PTSD patients. Patients with PTSD had higher BP and HR compared to patients without PTSD. Trauma exposure may increase BP in this population. These findings will increase awareness about the cardiovascular implications of PTSD.
This paper references
Physician-diagnosed medical disorders in relation to PTSD symptoms in older male military veterans.
P. Schnurr (2000)
Trauma, PTSD, and physical health: an epidemiological study of Australian Vietnam veterans.
B. O'toole (2008)
Sustained urinary norepinephrine and epinephrine elevation in post-traumatic stress disorder
T. Kosten (1987)
Heart disease and stroke statistics--2012 update: a report from the American Heart Association.
V. Roger (2012)
Cardiovascular manifestations of posttraumatic stress disorder.
U. Bedi (2007)
Hypertension in Relation to Posttraumatic Stress Disorder and Depression in the US National Comorbidity Survey
Jeffrey L. Kibler (2009)
Posttraumatic stress and depression symptoms in soldiers returning from combat operations in Iraq and Afghanistan.
Coady B Lapierre (2007)
The psychophysiology of posttraumatic stress disorder: a meta-analysis.
N. Pole (2007)
Posttraumatic stress disorder and mortality among U.S. Army veterans 30 years after military service.
J. Boscarino (2006)
A Prospective Study of PTSD and Early-Age Heart Disease Mortality Among Vietnam Veterans: Implications for Surveillance and Prevention
J. Boscarino (2008)
Resting heart rate is a risk factor for cardiovascular and noncardiovascular mortality: the Chicago Heart Association Detection Project in Industry.
P. Greenland (1999)
Elevated basal levels of cardiovascular responses in Vietnam veterans with PTSD: A health problem in the making?
E. Blanchard (1990)
A Meta-Analytic Examination of Basal Cardiovascular Activity in Posttraumatic Stress Disorder
T. Buckley (2001)
Posttraumatic stress disorder in the National Comorbidity Survey.
R. Kessler (1995)
Neuroendocrinology of post-traumatic stress disorder.
Panagiota Pervanidou (2010)
Health status, somatization, and severity of posttraumatic stress disorder in Vietnam combat veterans with posttraumatic stress disorder.
J. Beckham (1998)

This paper is referenced by
Autonomic arousal during actigraphically estimated waking and sleep in male veterans with PTSD.
Franziska Bertram (2014)
Guidelines for wrist-worn consumer wearable assessment of heart rate in biobehavioral research
Benjamin W. Nelson (2020)
Prevalence Rate of Diabetes and Hypertension in Disaster-Exposed Populations: A Systematic Review and Meta-Analysis
Farzad Gohardehi (2020)
Exploring Factors Impacting Veterans' Hypertension Control
J. Liu (2017)
Sleep restoration is associated with reduced plasma C-reactive protein and depression symptoms in military personnel with sleep disturbance after deployment.
M. Heinzelmann (2014)
PTSD psychotherapy improves blood pressure but leaves HPA axis feedback sensitivity stable and unaffected: First evidence from a pre-post treatment study
C. Schubert (2019)
Posttraumatic Stress Disorder and Aging.
Barton W Palmer (2016)
Analogue PTSD Symptoms are Best Predicted by State Rumination
Elena Holz (2017)
Adverse childhood experiences and autonomic regulation in response to acute stress: the role of the sympathetic and parasympathetic nervous systems
Katja Winzeler (2017)
Post-traumatic stress disorder symptoms and risk of hypertension over 22 years in a large cohort of younger and middle-aged women.
J. A. Sumner (2016)
Traumatic stress causes distinctive effects on fear circuit catecholamines and the fear extinction profile in a rodent model of posttraumatic stress disorder
Chen-Cheng Lin (2016)
Stress Reactivity in Chronic Tinnitus
Linda T. Betz (2017)
Child Maltreatment and Physical Health in Emerging Adulthood: Relationships with Physical Activity and Health Risk Behaviors
Susannah M. Moore (2019)
Muscle fatigability and control of force in men with posttraumatic stress disorder.
Manda L. Keller-Ross (2014)
High prevalence of posttraumatic stress in patients with primary hypertension.
Elisabeth Maria Balint (2016)
Prevalence of, Risk Factors for, and Consequences of Posttraumatic Stress Disorder and Other Mental Health Problems in Military Populations Deployed to Iraq and Afghanistan
Rajeev Ramchand (2015)
Common pathways and communication between the brain and heart: connecting post-traumatic stress disorder and heart failure
M. Wilson (2019)
Risk for Incident Hypertension Associated with PTSD in Military Veterans , and The Effect of PTSD Treatment
M. Burg (2017)
Maladaptive autonomic regulation in PTSD accelerates physiological aging
J. Williamson (2015)
Inflammation Relates to Chronic Behavioral and Neurological Symptoms in Military Personnel with Traumatic Brain Injuries
Christina Devoto (2017)
Stress-induced sensitization of angiotensin II hypertension is reversed by blockade of angiotensin-converting enzyme or tumor necrosis factor-α.
B. Xue (2019)
Association of Resting Heart Rate and Blood Pressure in Late Adolescence With Subsequent Mental Disorders: A Longitudinal Population Study of More Than 1 Million Men in Sweden.
A. Latvala (2016)
Contributions of individual differences in stress reactivity to post-traumatic stress disorder vulnerability and resilience
Jonathan E. Hill (2013)
Biomarkers of Cardiovascular Responses among War Veterans with Posttraumatic Stress Disorder
Borzoo Amirpour (2015)
Post-Traumatic Stress Disorder among Cardiac Patients: Prevalence, Risk Factors, and Considerations for Assessment and Treatment
H. Tulloch (2014)
Military and Veteran Mental Health Literature Scan: 2013
Guidelines for Nursing Care of Veterans with Posttraumatic Stress Disorder (PTSD)
Cristina Maria Loughery (2014)
The Association of Posttraumatic Stress Disorder With Clinic and Ambulatory Blood Pressure in Healthy Adults
D. Edmondson (2018)
Stress and Hypertension
Antoinette M Schoenthaler (2018)
Risk for Incident Hypertension Associated With Posttraumatic Stress Disorder in Military Veterans and the Effect of Posttraumatic Stress Disorder Treatment
Matthew M. Burg (2017)
Intermittent Hypoxic Conditioning Alleviates Post-Traumatic Stress Disorder-Induced Damage and Dysfunction of Rat Visceral Organs and Brain
E. Manukhina (2020)
Evidence for PTSD as a Systemic Disorder
Avram S Bukhbinder (2016)
See more
Semantic Scholar Logo Some data provided by SemanticScholar