Prevalence of arterial hypertension in young elite athletes with a hypertensive type of response to physical activity

Author:

Komoliatova V. N.1ORCID,Besportochnii D. A.2ORCID,Makarov L. M.1ORCID,Kiseleva I. I.2ORCID,Aksenova N. V.3ORCID

Affiliation:

1. Federal Scientific and Clinical Center for Children and Adolescents. Center for Syncope and Cardiac Arrhythmias; Russian Medical Academy of Continuing Professional Education

2. Federal Scientific and Clinical Center for Children and Adolescents. Center for Syncope and Cardiac Arrhythmias

3. Federal Clinical Center for High Medical Technologies, treatment and rehabilitation “OKA” of the Federal Medical and Biological Agency

Abstract

Aim of the study: to assess the prevalence of arterial hypertension in athletes with high BP values during an exercise test.Methods: out of 2313 athletes 14–18 (15.5 ± 1.4) years old, according to the results of VEM, 128 (6 %; 60 m) people with high blood pressure values at maximum load were identified, 86 (67 %) of them underwent ABPM. The patient were divided into 2 groups: with normal — 62 (72 %) and high office BP – 24 (28 %).Results: athletes with high office BP values had a significantly higher BMI. We did not note any significant differences in ABPM between the two groups. 71 % had arterial hypertension, 65 % had masked arterial hypertension.Conclusions: in young elite athletes with high values of BP during exercise, 71 % are diagnosed arterial hypertension according to ABPM; in 65% masked arterial hypertension has detected, which dictates the need for ABPM in this group of athletes.

Publisher

National Alliance of Medicine and Sports - Healthy Generation

Reference21 articles.

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2. Caselli S., Serdoz A., Mango F., Lemme E., Sequi A.V., Milan A., et al. High blood pressure response to exercise predicts future development of hypertension in young athletes. Eur. Heart J. 2019;40(1):62–68. https://doi.org/10.1093/eurheartj/ehy810

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4. Aleksandrov A.A., Kisliak O.A., Leontyeva I.V. Clinical guidelines on arterial hypertension diagnosis, treatment and prevention in children and adolescents. Systemic Hypertension. 2020;17(2):7–35. (In Russ.). https://doi.org/10.26442/2075082X.2020.2.200126

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