Peculiarities of the arterial hypertension dynamics depending on occupation and personality
Abstract
Purpose of research. Study of relationship between the frequency of left ventricular hypertrophy in hypertensive patients, depending on the individual-psychological characteristics and effects of the working environment. Materials and methods. 317 people aged 30 to 50 years were surveyed. The criteria for inclusion in the study groups were: the presence of hypertension of I–II grade of blood pressure increase and II–III risk criteria of European Society of Cardiology (2011). The first group consisted of 110 people which occupation connected with psycho-emotional overstrain (52 emergency medical workers and 58 military people with extreme conditions service), the second group was composed from 96 workers exposed to labor physical factors (noise, vibration), the third group was formed from 57 employees with labor optimal conditions. The control group consisted of 54 healthy donors. The echocardiographic research in two-dimensional and M-modal regimes was carried out. Psychological status was assessed using psycho-diagnostic techniques: questionnaires by H. Eysenck (EPI), form A by A.B. Leonova «Degree chronic fatigue» and «SACS» by S. Hobfolla, techniques «Scale states» by E. Grolier and M. Haider adapted by A.B. Leonova. Results and discussion. The greatest frequency of left ventricular hypertrophy and unproductive behavior strategies in stressful situations, higher levels of neuroticism, lies and chronic fatigue index as well as disturbances in the emotional-affective sphere have been revealed in military workers with hypertension. The highest rates of physiological symptoms of discomfort, as well as scales of «Avoidance» and «Aggression», lower values of productive strategies of behavior have been found in the labor workers group at the frequency of left ventricular hypertrophy; by 3.1 % higher than the data of medical workers and by 8.9 % higher than employees’ values. Multivariate correlation analysis revealed the direct correlation between the neuroticism level and lies indicators (R = 0,53) with the left ventricular mass index (R = 0,49).
Key words
ReferencesErmakova M.A. – 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.A. – doctor of medical sciences, professor, chief doctor, head of the chair of hospital therapy and medical rehabilitation, e-mail: mkb-2@yandex.ru
