ABSTRACT
Objective: To study the effect of emotion on blood pressure of patients with primary hypertension Method: 100 patients with primary hypertension completed SAS (self-rate anxiety scale) and Type A Behavior Questionnaire 62 of them had typical type A behavior, they were divided into two groups by results of SAS, 34 were SAS negative, 28 were positive The 28 patients were randomly divided into two groups, 14 received Lorsartan 50 mg daily for 30 days, the other 14 received both Paroxetine 20 mg daily and Lorsartan 50 mg daily for 30 days The 34 SAS negative patients also received Lorsartan 50 mg daily for 30 days Result: The positive rate of SAS was significant different between type A patients (28/62, 45 2%) and non-type A patients (4/38, 10 5%) In treatment of hypertension, the effective rate of Lorsartan in patients neither anxious nor type A predominant was 79 4%, that in the 14 patients with both anxiety and type A behavior was only 57 1% While in those using Lorsartan and Paroxetine, the effective rate was 78 5%, similar to that in patients neither anxious nor type A predominant Conclusion: Anxiety is much more common in hypertension patients predominant in type A behavior Treatment of anxiety is helpful to treatment of hypertension in patients both anxious and type A behavior predominant