隐蔽性高血压摔跤运动员心理生理状态及心肌应激水平的特点

E. Mestnikova
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摘要

的目标。目的探讨隐匿性高血压摔跤运动员的心理生理状况及心肌应激水平。材料和方法。我们调查了125名运动员,年龄18 ~ 30岁,男性,雅库特族,高体育精神(体育硕士候选人,体育硕士)。根据血压水平将运动员分为2组:1组-血压正常的运动员(n=80, 64.0%);2组:隐匿性高血压运动员(n=45, 36.0%)。进行了临床检查、人体测量、办公室和每日血压水平测量、左心室超声心动图检查。在隐瞒性高血压运动员中,高水平的反应性焦虑普遍存在,这使发生高血压的相对几率增加了2.6倍(OR 2.601 [95% CI: 1.123-6.023], p<0.05)。与血压正常的运动员相比,心血管系统的交感神经紧张性调节,收缩心肌应激增加,左室壁厚度增加。高反应性焦虑可作为运动员隐匿性高血压发生的危险因素。全面评估运动员的心理生理状态和个体类型特征是预防运动员心血管系统发生病理前和病理改变的必要条件。
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Features of psychophysiological status and level of myocardial stress in wrestlers with masked hypertension
Aim. To reveal the features of the psychophysiological status and the level of myocardial stress in wrestlers with masked hypertension.Materials and methods. We examined 125 athletes, aged 18 to 30, male, Yakut nationality, high sportsmanship (candidate master of sports, master of sports). Depending on the level of blood pressure, athletes were divided into 2 groups: group 1 ‒ athletes with normal blood pressure (n=80, 64.0%); group 2 ‒ athletes with masked hypertension (n=45, 36.0%). A clinical examination, anthropometry, measurement of office and daily blood pressure levels, echocardiography of the left ventricle were performed.Results. In athletes with masked hypertension, a high level of reactive anxiety prevails, which increases the relative chance of developing hypertension by 2.6 times (OR 2.601 [95% CI: 1.123‒6.023], p<0.05), a sympathicotonic type of regulation of the cardiovascular system was noted, an increase in systolic myocardial stress and high levels of left ventricular wall thickness compared with athletes with normal blood pressure.Conclusion. High reactive anxiety can serve as a risk factor for the development of masked hypertension in athletes. A comprehensive assessment of the psychophysiological status and individual typological characteristics of athletes is necessary to prevent the development of prepathological and pathological changes in the cardiovascular system in athletes.
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