Features of diurnal profile of arterial pressure at hypertension in people of different occupations
Abstract
Purpose of research. The study of variations of daily blood pressure profile in patients with arterial hypertension depending on the nature of the impact of the production environment (emotional or physical overstrain of labor). Materials and methods. 317 people aged from 30 to 50 years were examined. Inclusion criteria in the treatment group were: arterial hypertension of I–II degree of increase blood pressure and II–III degree of risk criteria EOC (2011). Exclusion criteria were: the age of 50, acute vascular complications in history, pathology of thyroid cancer, obesity, diabetes mellitus. Daily monitoring of arterial pressure with the use of monitors system IWRM-02 (Hungary), the assessment of psychological status on techniques Taylor, and Spilberger – Hanina were carried out. Results and discussion. It has been revealed that the diurnal profile of arterial pressure dippers in patients with arterial hypertension of physiological option was registered at 1.2–1.3 times more frequent then among workers exposed to physical factors of labor and among employees. Pathological profiles of blood pressure «non-dippers» and «over-dippers» occurred at 1.3–1.8 times more frequently in people with hypertension and under the emotional stress, especially in military personnel. The relationship between levels of personal anxiety, systolic and diastolic blood pressure at night was revealed according to multivariate correlation analysis.
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ReferencesErmakova M.А. – candidate of medical sciences, doctoral candidate of the chair of hospital therapy and medical rehabilitation, e-mail: 7270306@mail.ru.
Aftanas L.I. – doctor of medical sciences, professor, academician of RAS, director, e-mail: liaftanas@physiol.ru.
Shpagina L.А. – doctor of medical sciences, professor, chief doctor, head of the chair of hospital therapy and medical rehabilitation, e-mail: mkb-2@yandex.ru
