Peculiarities of the Hypertension Course in Patients with high Level of Anxiety
Journal Title: Lviv Clinical Bulletin - Year 2013, Vol 1, Issue 1
Abstract
Introduction. Arterial hypertension (AH) keeps the leading position in the list of the most common diseases of the cardiovascular system. AH often is accompanied by psycho-emotional disorders of different expression level. Aim. Determination of the psycho-emotional status of the patients with AH and the characteristics of AH course in patients with a high level of anxiety. Materials and methods. The study involved 70 patients with essential hypertension aged 33-81 years (mean age 61.1 ± 1.4 years), including 47 women (67.1%) and 23 men (32.9%). The average duration of AH was 9.6 ± 0.7 years. In addition to the standard questionnaire the survey for the self assessment was conducted using the Spielberger-Hanin scale to assess reactive (RA) and personal (PA) anxiety, which was assessed as low (less than 30 points), moderate (31-45 points) or high (46 points and more). The control group was composed of 18 healthy volunteers with an average age of 33.4 ± 3.3 years. Results. It was determined that the additional risk factors of cardiovascular complications in the patients with high levels of PA include: high blood pressure, abdominal obesity, elevated glucose levels, frequent hypo- or hypercholesterolemia, more frequent detection of diabetes mellitus. These include the more frequent concentric left ventricular hypertrophy, which is now recognized as the cause of an adverse prognosis and the least survival. Determining the level of PA, which is simple and informative, allows you to predict the nature of the course of the AH. Patients with AH with a high level of PA are more likely to experience AH crisis, higher systolic and diastolic blood pressure, complaints of high sweating and palpitations during the exercises, obesity of the III degree, in peripheral blood analysis – leukocytosis and anemia, higher glucose levels, very low and very high total cholesterol levels. In high PA conditions, a larger Sokolow-Lyon index on ECG, a smaller diastolic diameter, but a larger relative thickness of the left ventricular wall on the echocardiography, is more likely to result in concentric remodeling and concentric left ventricular hypertrophy. Conclusions. It has been found out that 70,0 % of patients have a high level of anxiety and have significantly more risk factors for cardiovascular complications (higher levels of systolic and diastolic blood pressure, often detection of hyperglycemia, hypo- and hypercholesterolemia, more often deveopment of concentric left ventricular hypertrophy) than patients with moderate level of anxiety.
Authors and Affiliations
O. Radchenko, L. Pylypiv
Keywords
Related Articles
- EP ID EP255757
- DOI 10.25040/lkv2013.01.013
- Views 105
- Downloads 0
Gastroesophageal Reflux Disease and Bronchial Asthma: Updated View on the Problem of Comorbidity
Introduction. Recently, much attention is paid to comorbidity. It is proved that in patients with bronchial asthma (BA) gastroesophageal reflux occurs significantly more frequently than in general population (70.0–80.0 %...
Characteristics of Syntropic Comorbid Extrahepatic Lesions in Patients with Liver Cirrhosis Depending on the Portal Hypertension Severity Degree
Introduction. Liver cirrhosis is one of the most severe diseases in the world, therefore a special attention is paid to its diagnosis and treatment. Today liver cirrhosis is considered to be a chronic diffuse progressive...
The Study of the Effectiveness of Meloxicam "Movalis" Application in Postoperative Patients with Planovalgus Foot Deformity
Introduction. Today the main method of complex treatment of severe foot deformities in adults is a surgery. Every surgery beneficial to a patient is accompanied by iatrogenic and inflammatory tissue damage of different d...
Взаимосвязь кариеса временных зубов и физического развития детей раннего возраста, проживающих в сельской местности
Введение. Важным периодом при формировании организма ребенка считается дошкольный возраст, поскольку именно тогда закладываются основы здоровья и физического развития. Цель. Выяснить взаимосвязь кариеса временных зубов и...
Features of Clinical Course of Acute Period of Myocardial Infarction in Patients with Atrial Fibrillation and Their Influence on Cardiac Hemodynamics and Prognosis
Introduction. Atrial fibrillation (AF) is a major public health problem and causes significant financial costs for the health system. Aim. To establish the peculiarities of the clinical course of acute myocardial infarct...