TYPE A CARDIOVASCULAR RESPONSES TO READING IN PATIENTS

关于A型(易患冠状动脉)之间的关系的信息 A型个体的行为、沟通方式，以及 心血管(血压和心率)对交流的反应是 对了解A型流感对健康的影响至关重要 行为。A型个体心血管反应性的增加 增加他们患冠心病(CHD)的风险。两者都有 A型和B型冠心病患者比可比正常人对 精神运动任务。我们将评估独立的生理效应 A型行为模式的特定组成部分，快速语音，以及 探索控制血压和心率的行为策略 对沟通的回应。 200名冠心病患者将接受血压监测 自动示波测量装置，每隔一分钟测量一次 活动包括安静休息和在三个不同的地方阅读 速度：正常、最大和最小。速度的顺序是 随机决定的。语速、语速、语速的独立效应 言语和冠脉易发行为(用Jenkins测量 活动调查和结构化面试)将使用以下方法进行评估 重复测量和简单效应检验的协方差分析。 降低语速对血液虚化的作用 对言语表达的压力反应是最重要的。这项研究 将为A型病毒的相互关系提供一种解释 行为、语速和血压反应，以及 开发和/或评估旨在修改的治疗方案 对沟通的心血管反应。

Information about the relationship between Type A (coronary prone) behavior, the communication style of Type A individuals, and the cardiovascular (blood pressure and heart rate) response to communication is of vital importance in understanding the health effects of Type A behavior. The increased cardiovascular responsivity of Type A individuals contributes to their risk of developing coronary heart disease (CHD). Both Type A and B CHD patients are more reactive than comparable normals to psychomotor tasks. We will evaluate the independent physiological effect of a specific component of the Type A behavior pattern, rapid speech, and explore a behavioral strategy for controlling blood pressure and heart rate responses to communication. Two hundred CHD patients will have their blood pressures monitored with an automated oscillometric device at one minute intervals during a series of activities including resting quietly and reading at three different speeds: normal, maximal, and minimal. Order of the speeds will be randomly determined. The independent effects of rate of speech, number of words spoken, and coronary prone behavior (measured with the Jenkins Activity Survey and the Structured Interview) will be assessed using analyses of covariance with repeated measures and simple effects tests. The effectiveness of reducing the rate of speech at attenuating the blood pressure response to verbalization is of prime importance. This research will provide both an elucidation of the interrelationship of Type A behavior, rate of speech, and blood pressure reacting and a basis for the development and/or evaluation of therapeutic regimens aimed at modifying the cardiovascular responses to communication.