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Clinical Characteristics of Anxiety and Depression and the Relationship between Heart Rate Variability in Patients with Hypertension
Author(s): 
Pages: 171-174
Year: Issue:  2
Journal: Research of Traditional Chinese Medicine

Keyword:  hypertensionanxietydepressionheart rate variability;
Abstract: Objective To determine the clinical characteristics of hypertensive patients with anxiety and depression,and the correlation between heart rate variability(HRV).Methods Two hundreds hypertensive patients with anxiety and depression were divided into two groups according to SAS and SDS scores,and then randomly divided into two subgroup according to whether treatment with anxiety and depression.Ambulatory blood pressure and HRV were compared between two groups.Results 35% of patients was accompanied with anxiety and 32.5% with depression in200 hypertensive patients.The indexes for ambulatory blood pressure,SAS scores and SDS scores of anxiety and depression group were significantly higher than that in no anxiety and depression group(P <0.05).And the HAV index(SDNN,SDANN and RMSSD)of anxiety and depression group were significantly lower than that in no-anxiety and depression group(P <0.05).The difference of SAS scores,SDS scores and ambulatory blood pressure before and after treatment were significantly increased(P<0.05).Conclusion Hypertensive patients with anxiety and depression,whose blood pressure are higher than other hypertensive patients,and the HRV are lower than others.Low HRVs are the risk factors of anxiety and depression for hypertensive patients.Anti anxiety and depression treatment may be beneficial to the hypotensive effect and improve the HRV.
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