Primary arterial hypertension in athletes
D I Sadykova , I Y Lutfullin
Kazan medical journal ›› 2012, Vol. 93 ›› Issue (6) : 927 -931.
Primary arterial hypertension in athletes
Intensive sports does not exclude the development of primary arterial hypertension in athletes, even considering that physical activity is considered as one of the primary preventive factors for this disease. Key features of interrelation between blood pressure regulation and intense physical activity are surveyed, features of etiology and pathogenesis of arterial hypertension in athletes are covered, data on specific arterial hypertension factors for athletes are provided in the article. The international criteria of primary arterial hypertension diagnosis in athletes (according to 36th Bethesda Conference, 2005) are listed, as well as local 2011 recommendations. Medical treatment algorithms of primary arterial hypertension in athletes are given, considering international anti-doping requirements for different sports. The principles of athletes with primary arterial hypertension medical admission to competitive sports are described, criteria for physical exercise limitations and complete retirement from sports are provided.
| [1] |
Всероссийское научное общество кардиологов. Национальные рекомендации по допуску к занятиям спортом и участию в соревнованиях спортсменов с отклонениями со стороны сердечно-сосудистой системы // Рац. фармакотерап. в кардиол. - 2011. - Т. 7, №6 (приложение). - С. 2-60. |
| [2] |
Михайлов В.М. Нагрузочное тестирование под контролем ЭКГ: велоэргометрия, тредмилл-тест, степ-тест, ходьба. - Иваново: Талка, 2008. - 548 с. |
| [3] |
Смоленский А.В., Золичева С.Ю., Михайлова А.В. и др. Морфофункциональные отличия юных гребцов с повышенным уровнем артериального давления // Физиол. чел. - 2010. - №4. - C. 15-19. |
| [4] |
Федотова И.В., Стаценко М.Е. Сравнительная оценка психоэмоционального состояния и уровня стрессогенности у бывших и действующих спортсменов // Вест. новых мед. технол. - 2009. - №4. - С. 95. |
| [5] |
Chick T.W., Halperin A.K., Gacek E.M. The effect of antihypertensive medications on exercise performance: a review // Med. Sci. Sports Exerc. - 1988. - Vol. 20. - P. 447-554. |
| [6] |
Fagard R.H. Exercise characteristics and the blood pressure response to dynamic physical training // Med. Sci. Sportsexerc. - 2001. - Vol. 33 (suppl.). - P. 484-494. |
| [7] |
Forjaz C.L., Matsudaira Y., Rodrigues F.B. et al. Post-exercise changes in blood pressure, heart rate and rate pressure product at different exercise intensities in normotensive humans // Braz. J. Med. Biol. Res. - 1998. - Vol. 31. - P. 1247-1255. |
| [8] |
Franklin P.J., Green D.J., Cable N.T. The influence of thermoregulatory mechanisms on post-exercise hypotension in humans // J. Physiol. - 1993. - Vol. 470. - P. 231-241. |
| [9] |
Haapanen N., Miilunpalo S., Vuori I. et al. Association of leisuretime physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women // Int. J. Epidemiol. - 1997. - Vol. 26. - P. 739-747. |
| [10] |
Halbert J.A., Silagy C.A., Finucane P. et al. The effectiveness of exercise training in lowering blood pressure: a meta-analysis of randomized controlled trials of 4 weeks or longer // J. Hum. Hypertens. - 1997. - Vol. 11. - P. 641-649. |
| [11] |
Heggie V.A. Century of cardiomythology: exercise and the heart c. 1880-1980 // Soc. Hist. Med. - 2010. - Vol. 23. - P. 280-298. |
| [12] |
Iglesias Cubero G. Left ventricular mass index and sports: the influence of different sports activities and arterial blood pressure // Int. J. Cardiol. - 2000. - Vol. 75, N 2-3. - P. 261-265. |
| [13] |
Kelley G.A., Kelley K.S. Progressive resistance exercise and resting blood pressure: a meta-analysis of randomized controlled trials // Hypertens. - 2000. - Vol. 35. - P. 838-843. |
| [14] |
Lee C.D., Folsom A.R., Blair S.N. Physical activity and stroke risk: a meta-analysis // Stroke. - 2003. - Vol. 34. - P. 2475-2481. |
| [15] |
Leyk D., Rither T., Wunderlich M. et al. Utilization and implementation of sports medical screening examinations: survey of more than 10 000 long-distance runners // Dtsch. Arztebl. Int. - 2008. - Vol. 105. - P. 609-614. |
| [16] |
Lund-Johansen P. Haemodynamics in essential hypertension // Clin. Sci. [Colch.]. - 1980. - Vol. 59, suppl. 6. - P. 343-354. |
| [17] |
Macdonald J.R., Rosenfeld J.M., Tarnopolsky M.A. et al. Postexercise hypotension is sustained during subsequent bouts of mild exercise and simulated activities of daily living // J. Hum. Hypertens. - 2001. - Vol. 15. - P. 567-571. |
| [18] |
Maron B.J. Sudden death in young athletes // N. Engl. J. Med. - 2003. - Vol. 349. - P. 1064-1075. |
| [19] |
Maron J., Douglas P. Eligibility recommendations for competitive athletes with cardiovascular abnormalities - general considerations // J. Am. Coll. Cardiol. - 2005. - Vol. 45. - P. 1318-1321. |
| [20] |
Matsukawa T., Mano T., Gotoh E., Ishii M. Elevated sympathetic nerve activity in patients with accelerated essential hypertension // J. Clin. Invest. - 1993. - Vol. 92. - P. 25-28. |
| [21] |
Missault L., Duprez D., de Buyzere M. et al. Decreased exercise capacity in mild essential hypertension: non-invasive indicators of limiting factors // J. Hum. Hypertens. - 1992. - Vol. 6. - P. 151-155. |
| [22] |
Mitchell J.H., Haskell W., Snell P., van Camp S.P. Task force 8: classification of sports // J. Am. Coll. Cardiol. - 2005. - Vol. 45, N 8. - P. 1364-1367. |
| [23] |
Niedfeldt W. Managing hypertension in athletes and physically active patients // Am. Fam. Physician. - 2002. - Vol. 66. - P. 445-453. |
| [24] |
O’Farrell A., Allwright S., Kenny S. et al. Alcohol use among amateur sportsmen in Ireland // BMC Research Notes. - 2010. - N 3. - P. 313. |
| [25] |
Pereira M.A., Folsom A.R., Mcgovern P.G. et al. Physical activity and incident hypertension in black and white adults: the atherosclerosis risk in communities study // Prev. Med. - 1999. - Vol. 28. - P. 304-312. |
| [26] |
Pescatello L.M., Franclin B.A., Fagard R. et al. Exercise and hypertension. Medicine&science in sports&exercise // J. Amer. Coll. Sports Med. - 2004. - Vol. 36, N 3. - P. 533-553. |
| [27] |
Quinn T.J. Twenty-four hour, ambulatory blood pressure responses following exercise: impact of exercise intensity // J. Hum. Hypertens. - 2000. - Vol. 14. - P. 547-553. |
| [28] |
Ray C.A., Carrasco D.I. Isometric handgrip training reduces arterial pressure at rest without changes in sympathetic nerve activity // Am. J. Physiol. Heartcirc. Physiol. - 2000. - Vol. 279. - P. 245-249. |
| [29] |
Roltsch M.H., Mendez T., Wilund K.R., Hagberg K.M. Acute resistive exercise does not affect ambulatory blood pressure in young men and women // Med. Sci. Sportsexerc. - 2001. - Vol. 33. - P. 881-886. |
| [30] |
Ronda M.U., Alves M.J., Braga A.M. et al. Postexercise blood pressure reduction in elderly hypertensive patients // J. Am. Coll. Cardiol. - 2002. - Vol. 39. - P. 676-682. |
| [31] |
Singh J.P., Larson M.G., Manolio T.A. et al. Blood pressure response during treadmill testing as a risk factor for new-onset hypertension: the Framingham Heart Study // Circulation. - 1999. - Vol. 99. - P. 1831-1836. |
| [32] |
Taylor-Tolbert N.S., Dengel D.R., Brown M.D. et al. Ambulatory blood pressure after acute exercise in older men with essential hypertension // Am. J. Hypertens. - 2000. - Vol. 13. - P. 44-51. |
| [33] |
The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure // Arch. Intern. Med. - 1997. - Vol. 157. - P. 2413-2446. |
| [34] |
The World Anti-Doping Code. The 2011 prohibited list International Standart. - http://www.usada.org/prohibited-list/ (доступ свободный). |
| [35] |
Vanhees L., Defoor J.G., Schepers D. et al. Effect of bisoprolol and tenolol on endurance exercise capacity in healthy men // J. Hypertens. - 2000. - Vol. 18. - P. 35-43. |
| [36] |
Whelton S.P., Chin A., Xin X., He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials // Ann. Intern. Med. - 2002. - Vol. 136. - P. 493-503. |
Sadykova D.I., Lutfullin I.Y.
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