Psychological stress and diastolic blood pressure in cardiology outpatients: a multicenter cross-sectional study (from the ABC2X-2026 study) - Report - MDSpire
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Psychological stress and diastolic blood pressure in cardiology outpatients: a multicenter cross-sectional study (from the ABC2X-2026 study)
Clinical Report: The Impact of Psychological Stress on Diastolic Blood Pressure
Overview
This multicenter study reveals that psychological stress is prevalent among cardiology outpatients and is independently associated with higher diastolic blood pressure (DBP), particularly in patients with coronary artery disease and older adults. The findings underscore the importance of assessing psychological stress in routine cardiovascular risk evaluations.
Background
Psychological stress is increasingly recognized as an independent risk factor for cardiovascular disease, influencing both the development and progression of hypertension. Current guidelines advocate for the integration of mental health assessments into cardiovascular care, highlighting the need for a comprehensive approach to patient management. Understanding the hemodynamic effects of stress can enhance risk stratification and inform treatment strategies in cardiology.
Data Highlights
Parameter
Finding
Prevalence of Psychological Stress
373 patients (55%) reported stress
Present Stress
264 patients (39%)
Previous Stress
109 patients (16%)
DBP Increase with Present Stress
β = 3.0 ± 0.9 mmHg, p = 0.001
DBP Increase in CAD Patients
β = 5.9 ± 2.4 mmHg, p = 0.01
Key Findings
Psychological stress is reported by 55% of cardiology outpatients.
Present stress is linked to higher diastolic blood pressure (DBP) in patients.
Older age and coronary artery disease (CAD) amplify the DBP response to present stress.
Previous stress does not show a significant association with DBP or other hemodynamic parameters.
Routine assessment of psychological stress may enhance cardiovascular risk stratification.
Clinical Implications
Healthcare professionals should routinely assess psychological stress in cardiology outpatients to identify those at higher risk for elevated diastolic blood pressure. This approach may facilitate targeted interventions and improve overall cardiovascular management.
Conclusion
The study highlights the significant impact of ongoing psychological stress on diastolic blood pressure among cardiology outpatients, emphasizing the need for integrated mental health assessments in cardiovascular care.
