The relationship between psychological parameters, vegetative regulation and average daily blood pressure in arterial hypertension with asthenoneurotic disorders in the marine specialists of the Arctic

Relevance. A special problem is the development and progression of hypertension in marine specialists serving in the Far North, who have been subjected to long-term stress-induced effects throughout their professional activities. Intention. The aim is to study dysfunctions in interaction between the central nervous system, vegetative regulation and the clinical course of hypertension in marine specialists. Methods. 54 patients (men) aged 30 to 45 years with an average age (34.0 ± 8.4) years were examined; Group 1 (n = 34) – patients with arterial hypertension and asthenoneurotic disorders (marine specialists from the floating crew of surface ships serving in the Far North); Group 2 (n = 20) – patients with arterial hypertension without psychological disturbances (specialists from coastal detachments and units). Psychological status, neuropsychic adaptation and cardiovascular systems were studied. The qualitative and quantitative pair correlations between these indicators were evaluated. Results and Discussion. Regulatory dysfunctions in patients of Group 1 are associated with psychological and psychophysiological status (high anxiety, depression and stress-mediated reactions), autonomic regulation (low level of β-endorphin, sympathicotonia and autonomic stimulation) and cardiovascular functions (high average systolic and diastolic blood pressure, as well as during the daytime and nighttime). Conclusion. According to the obtained data, new comprehensive treatments for marine specialists are needed.

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