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May 19, 1956

Life Stress and Essential Hypertension: A Study of Circulatory Adjustments in Man

JAMA. 1956;161(3):293. doi:10.1001/jama.1956.02970030111039

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The authors are better prepared than most to write a good book on the relationship of stress and essential hypertension; a documentary type of book has resulted. The book was written to emphasize the part that life stresses may play in the pathogenesis of hypertension and what the relief of some of them does with regard to lowering blood pressure. There are 10 chapters, each with a short summary. The body of each consists of the detailed evidence on which the summary is based. Circulatory adjustments associated with muscular effort and those involving the rhythm of the heart and peripheral vessels occupy an important part of the book. Discussion of the natural history and treatment of essential hypertension, measurement of the hemodynamics in essential hypertension at rest and under stress, and a survey of 114 patients constitute the remainder of the book. The authors point out that it is doubtful

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