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Hypertensive status

The etiology and pathogenesis of hypertensive conditions and widely documented in the literature [lang, F., 1950; Myasnikov, A. L., 1954, and others]. It should be said that the merit selection hypertension as an independent disease belongs to G. F. lang. He for the first time in 1922 formulated the idea of hypertensive disease as a disease with independent etiology and pathogenesis.
Neurogenic theory of hypertension proposed by G. F. lang, had been confirmed and further developed in the works of Soviet scientists, especially in the works of his closest disciple A. L. Myasnikov. Currently, there is no doubt that the basis of the pathogenesis of hypertension lies the Central obuslovleno strengthening tone the muscle wall of periarterial and arterioles of the whole body or its vast areas, leading to increased peripheral resistance to blood flow, resulting in a more or less long-term rise in blood pressure. However, isolated systolic pressure may be attributed to the relative increase in stroke volume of the heart during normal minute volume of circulatory and adequate reaction arterioles, i.e. depend on hemodynamic changes. In other words, an increase in systolic blood pressure may occur not only at increased peripheral resistance to blood flow, but also due to the growth of hemodynamic stroke. However, the lack of proper attention and failure to take action in this form hypertension lead to the violation of a coordinating influence of cortex, spasm of arterioles and development of hypertension.
In the basis of the etiology and pathogenesis of hypertension in athletes are the same factors that are not involved in sports. Among the various factors influencing the development of hypertension, it should be noted genetic predisposition, i.e. the tendency to Pressor responses. According to L. A. butchenko and N. I. Volnova (1985), 55-60 % of athletes with hypertension indicate hypertension parents. However, for the manifestation of this predisposition, i.e. in order to get sick hypertension, you need certain conditions. To such terms in the sport are irrational, excessive physical and emotional stress, and also a specific focus of the training process associated with the development of the forces.
If sports are carried out correctly (regularly, without undue stress), they cannot be a cause of high blood pressure. On the contrary, some athletes with increased excitability vasomotor centers rational sports normalize blood pressure. It is also known that the representatives of physical labor rarely suffer from hypertension than engaged in intellectual work, unless, of course, physical labor is not excessive [lang, F., 1950; Myasnikov, A. L., 1954].
In our laboratory L. I. Zharikov (1956) found that particularly hard to increase blood pressure among student-athletes influence exams and sports competitions, and in individuals with a higher reactivity vasomotor centers hypertension is more amplitude and stability.
Speaking about the importance of mental overstrain in the etiology and pathogenesis of hypertension, it is important to specify that the direct quantitative ratio between the power and the nature of emotions, on the one hand, and the level of blood pressure - on the other hand, no. Because the range of emotions of each person is unique and individual, it is obvious that the assessment of emotional surge in different people different. Often, seemingly weak emotions can give sharp pressornyi effect. However, for the development of hypertension, in addition to mental overstrain, need to be Hyper-reactivity, i.e., anxiety vasomotor nerve system, when the potential ability to increased vascular tone more than a tendency to its decrease. In these conditions, any excessive burden, disturbance regime, nervous stress, etc., may be factors that add to the increased reactivity vasomotor centers and cause hypertension.