Exam questionKROK 1Medicine ยท 2018
After a psychic trauma a woman developed periodical increases in her blood pressure accompanied by headache, palpitations, and general weakness. What mechanism of hypertension development does this woman have?
Answer options
- Tachycardia
- Venoconstriction
- Decreased cardiac output
- Increased arteriolar tone
- Increased circulating blood volume
Correct answer
Increased arteriolar tone
Explanation
In psychic trauma (bad memories) sympathetic system responsible for the fight, flight, and fear response gets activated, resulting in the release of adrenaline, which causes vasoconstriction (increased arterial tone) by activation of alpha1 receptor, causing high bp along with headache, palpitations, and general weakness.
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