arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2018-24-2-145-150arthyper-788Research ArticleСтатьиArticlesРеактивность на психоэмоциональный стресс: клинические аспекты при артериальной гипертензииReactivity to psychoemotional stress: clinical aspects in hypertensionАнтроповаО. Н.AntropovaO. N.

доктор медицинских наук, профессор кафедры факультетской терапии и профессиональных болезней

MD, PhD, Professor, Department of Internal Diseases and Occupational Diseases

antropovaon@mail.ruОсиповаИ. В.OsipovaI. V.

доктор медицинских наук, профессор, заведующая кафедрой факультетской терапии и профессиональных болезней

MD, PhD, Professor, Head, Department of Internal Diseases and Occupational Diseases

antropovaon@mail.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Алтайский государственный медицинский университет» Министерства здравоохранения Российской Федерации, БарнаулРоссияAltai State Medical UniversityRussian Federation201815052018242145150Copyright © Антропова О.Н., Осипова И.В., 20182018Антропова О.Н., Осипова И.В.Antropova O.N., Osipova I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/788

Повышенная реактивность артериального давления (АД) на стресс (стресс-реактивность) является, пожалуй, одной из центральных патогенетических теорий, а также одним из важнейших предвестников клинических симптомов сердечно-сосудистых заболеваний. Как показали исследования последних лет, применение различных видов нагрузочных тестов у здоровых людей и больных артериальной гипертензией позволяет получать важную дополнительную информацию не только о функциональном состоянии и резервных возможностях сердечно-сосудистой системы, но в ряде случаев оценить прогноз и риск развития заболевания. В статье представлен обзор литературных данных и многолетних собственных наблюдений, посвященных взаимосвязи повышенной стресс-реактивности с факторами риска, состоянием сосудистой стенки, сердечно-сосудистым прогнозом. Выявленные особенности создают более полную картину патогенетических влияний стресс-реактивности и в перспективе позволят составлять индивидуальный прогноз развития сердечно-сосудистого заболевания с последующей разработкой эффективных профилактических программ.

 

Increased stress reactivity of blood pressure is one of the central pathogenesis theories, as well as one of the most important precursors of the clinical symptoms of cardiovascular diseases. Recent studies have shown that different exercise tests in healthy and hypertensive people provide important additional information about the functional status and reserve capabilities of the cardiovascular system, as well as help to estimate the prognosis and morbidity risks. The article reviews the literature data and long-term own observations on the relationship between increased stress reactivity and risk factors, the state of the vascular wall, and the cardiovascular prognosis. These data increase our understanding of the pathogenetic effects of stress reactivity and in the future can enable to define an individual cardiovascular prognosis and development of effective preventive measures.

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The authors declare that there are no conflicts of interest present.