Abstract
A 38 years-old male with hypertensive episodes was admitted to our hospital for the therapeutic purpose.His complaints included head heaviness, dizziness, fatigue and discomfort of the gastric region. His blood pressure was elevated by both somatic and psychic stresses concerning hypertension. Clinical examination revealed nothing abnormal except for high renin activity shown by uprihgt loading and positive isoproterenol test. Autonomic dysfunction was observed such as revealed in positive dermography, positive cold pressure test and abnormal pattern in microvibration.In this case, a behavioral approach including cessation of self-measurement of blood pressure was effective to maintain the normal blood pressure and also to be free from his subjective symptoms. The β-blocker was found to be ineffective.
