Features of psychophysiological status and level of myocardial stress in wrestlers with masked hypertension

Abstract

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.