Артериальная гипертензия на рабочем месте: факторы риска и популяционное значение
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Ключевые слова: сердечно-сосудистые заболевания, факторы риска, артериальная гипертензия, профессиональные заболевания.
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The article presents data of domestic and foreign authors on the relationship between occupational factors and arterial hypertension. The role of latent arterial hypertension, its frequency in the population, the lesion of the target organs and the prognosis in comparison with normotensive individuals, arterial hypertension of the "white coat" and stable arterial hypertension have been analyzed. Arterial hypertension in the workplace is a form of latent arterial hypertension. The authors review the influence of harmful production factors (physical, chemical), as well as psychosocial stress on the risk of developing arterial hypertension.The risk of developing hypertension in specified groups of workers has been analyzed separately. The place of production-related diseases in modern occupational pathology in the Russian Federation. A wider implementation of measures aimed at early diagnosis and prevention of arterial hypertension in workers is proposed.
Keywords: cardiovascular diseases, risk factors, arterial hypertension, occupational diseases.
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2. [Occupational pathology. National leadership edited by N.F. Izmerov. M.: GEOTAR-Media, 2011; 777 p. (In Russ.)].
3. Bobrie G, Clersonb P, Me´nardc J, Postel-Vinaya N, Chatellierc G, Pierre-Franc¸ois Plouina. Masked hypertension: a systematic review. J Hypertens. 2008;26:1715-25. doi: 10.1097/HJH.0b013e3282fbcedf
4. Guidelines European Society of Hypertension Position Paper on Ambulatory Blood Pressure Monitoring. J Hypertension. 2013;31:1731-68. doi.org/10.1097/hjh.0b013e328363e964
5. Pickering TG, Coats A, Mallion JM, et al. Blood Pressure Monitoring. Task force V: White-coat hypertension. Blood Press Monit. 1999;4(6):333-41. doi.org/10.1097/00126097-199912000-00006
6. Pickerihg TG, Eguchi K, Kario K. Masked hypertension: a review. Hypertens Res. 2007; 30:479-88. doi.org/10.1291/hypres.30.479
7. 2013 ESH/ESC Guidelines for the management of arterial hypertension. J Hypertension. 2013;31:1281-357. doi.org/10.1097/01.hjh. 0000431740.32696.cc
8. Fagard RH, Cornelissen VA. Incidence of cardiovascular events in white-coat, masked and sustained hypertension vs. true normotension: a meta-analysis. Am J Hypertens. 2007;25:2193-8. doi.org/10.1097/ hjh.0b013e3282ef6185
9. Bjorklund K, Lind L, Zethelius B, et al. Isolated ambulatory hypertension predicts cardiovascular morbidity in elderly men. Circulation. 2003;107:1297-302. doi.org/10.1161/01.cir.0000054622.45012.12
10. Fagard R, Van Den Broeke C, De Cort P. Prognostic significance of blood pressure measured in the office, at home and during ambulatory monitoring in older patients in general practice. J Hum Hypertens. 2005;19:801-7. doi.org/10.1038/sj.jhh.1001903
11. Liu JE, Roman MJ, Pini R, Schwartz JE, Pickering TG, Devereux RB. Cardiac and arterial target organ damage in adults with elevated ambulatory and normal office blood pressure. Ann Intern Med. 1999;131:564-72. doi.org/10.7326/0003-4819-131-8-199910190-00003
12. Sega R, Trocino G, Lanzarotti A, Carugo S, Cesana G, Schiavina R, et al. Alterations of cardiac structure in patients with isolated office, ambulatory, or home hypertension: Data from the general population (Pressione Arteriose Monitorate E Loro Associazioni [PAMELA] Study). Circulation. 2001;104:1385-92. doi.org/10.1161/hc3701.096100
13. Platonova EV, Deev AD, Gorbunov VM, Alecsandry AL, Balanova YA. Comparative evaluation of prevalence of hypertensive phenotypes by using home and office blood pressure measurements in treated and untreated subjects ≥55 ages. Intern J Cardiology. 2009;137:56. doi.org/10.1016/j.ijcard.2009.09.186
14. [Prevention, diagnosis and treatment of hypertension. Recommendations of the Russian Medical Society on Arterial Hypertension and the All-Russian Scientific Society of Cardiology (fourth revision). 2010. (In Russ.)].
15. [Chazova IE, Oschepkova EV, Zhernakova YuV. (working group on preparation of recommendations). Diagnosis and treatment of arterial hypertension. 3.2.5. Recommendations for the detection of subclinical damage to target organs, CVD, DVB, and CKD in patients with AH. Cardiological Bulletin. 2015;1:11 (In Russ.)].
16. Baguet J, Levy P, Tamisier R, et al. Masked hypertension and obstructive sleep apnea syndrome (OSAS). Sleep Меdicine. 2006;7:67. doi.org/10.1016/j.sleep.2006.07.161
17. [Gorbunov VM. Ambulatory blood pressure monitoring: modern aspects. M.: Logosfera, 2015; 240 р. (In Russ.)].
18. [Martynov AI, Novotneva NF, Bezborodova NN. Detection of latent hypertension during preventive examination. Clinical Medicine. 1983;3:42-6. (In Russ.)].
19. Verdecchia P1, Porcellati C, Schillaci G, Borgioni C, Ciucci A, Battistelli M, Guerrieri M, Gatteschi C, Zampi I, Santucci A, Santucci C, Reboldi Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension. Hypertension. 1994;24(6):793-801. doi.org/10.1161/01.hyp.24.6.793
20. [Strizhakov LA, Lebedeva MV, Fomin VV, Mukhin NA. Occupational factors and risk of developing cardiovascular diseases. Therapeutic Archive. 2016;9:125-30 (In Russ.)]. doi.org/10.17116/terarkh2016889125-30
21. Clement D, De Buyzere M, De Bacquer D, et al. Prognostic value of ambulatory blood-pressure recordings in patients with treated hypertension. N Engl J Med. 2003;348:2407-15. doi.org/10.1016/j.accreview.2003.08.048
22. Fagard RH, Cornelissen VA. Incidence of cardiovascular events in white-coat, masked and sustained hypertension vs. true normotension: a meta-analysis. Am J Hypertens. 2007;25:2193-8. doi.org/10.1097/hjh.0b013e3282ef6185
23. Pierdomenico SD, Cuccurullo F. Prognostic value of white-coat and masked hypertension diagnosed by ambulatory monitoring in initially untreated subjects: an updated meta analysis. Am J Hypertens. 2011;24:52-8. doi.org/10.1038/ajh.2010.203
24. Stergiou GS, Asayama K, Thijs L, et al. Prognosis of white-coat and masked hypertension: International Database of Home blood pressure in relation to Cardiovascular Outcome. Hypertension. 2014;63(4):675-82. doi.org/10.1161/hypertensionaha.113.02741
25. Cuspidi C, Negri F, Sala C, Mancia G. Masked hypertension and echocardiographic left ventricular hypertrophy: an updated overview. Blood Press Monit. 2012;17(1):8-13. doi.org/10.1097/mbp.0b013e32834f713a
26. Kotsis V, Stabouli S, Toumanidis S, Papamichael C, Lekakis J, Germanidis G, Hatzitolios, Rizos Z, Sion M, Zakopoulos Н. Target organ damage in "white coat hypertension" and "masked hypertension". Am J Hypertens. 2008;21(4): 393-9. doi.org/10.1038/ajh.2008.15
27. Matsui Y, Eguchi K, Ishikawa J, et al. Subclinical arterial damage in untreated masked hypertensive subjects detected by home blood pressure measurement. Am J Hypertens. 2007;20:385-91. doi.org/10.1016/j.amjhyper.2006.10.008
28. Sega R, Trocino G, Lanzarotti A, Carugo S, Cesana G, Schiavina R, et al. Alterations of cardiac structure in patients with isolated office, ambulatory, or home hypertension: Data from the general population (Pressione Arteriose Monitorate E Loro Associazioni [PAMELA] Study). Circulation. 2001;104:1385-92. doi.org/10.1161/hc3701.096100
29. Shimbo D, Newman JD, Schwartz JE. Masked hypertension and prehypertension: diagnostic overlap and interrelationships with left ventricular mass: the masked hypertension study. Am J Hypertens. 2012;25(6):664-71. doi.org/10.1161/hc3701.096100
30. Verberk WJ, Kessels AGH, de Leeuw PW. Prevalence, causes and consequences of masked hypertension: a meta-analysis. Am J Hypertens. 2008;21(9):969-75. doi.org/10.1038/ajh.2008.221
31. Schnall PL, Pieper C, Schwartz JE, et al. The relationship between 'job strain,' workplace diastolic blood pressure, and left ventricular mass index. JAMA. 1990;263:1929-35. doi.org/10.1001/jama.1990.03440140055031
32. Bjorklund K, Lind L, Zethelius B, et al. Isolated ambulatory hypertension predicts cardiovascular morbidity in elderly men. Circulation. 2003;107:1297-302. doi.org/10.1161/01.cir.0000054622.45012.12
33.[Shatalov NN. Cardiovascular system under the influence of professional factors. M., 1976:153-66 (In Russ.)].
34. [Kosarev VV, Eremina NV. Professional hearing impairments. Samara, 1998; 47 р. (In Russ.)].
35. [Mukhin NA, Kosarev VV, Babanov SA, Fomin VV. Occupational diseases. M.: INFRA-M, 2013; 496 p. (In Russ.)].
36. [Kosarev VV, Lotkov VS. Central hemodynamics and myocardial contractility in those working in contact with dust and vibration. Kazan Medical Journal. 1987;5(16):338-41 (In Russ.)].
37. [Ermakova MA, Shpaginа LA. Characterization of oxidative metabolism of lipids in arterial hypertension in conditions of high professional risk. Preventive and clinical medicine. 2014;2:73-8 (In Russ.)].
38. [Lebedeva MV, Balkarov IM, Shovskaya TN, et al. Svintsovaya podagra. Klinicheskaya meditsina. 1995;3:103-4 (In Russ.)].
39. [Antropova ON, Osipova IV, Simonova GI, Vorobyeva EH, et al. Professional stress and development of stress-induced hypertension. Cardiology. 2009;6:27-30 (In Russ.)].
40. [Tikhonov PP, Sokolova LA. Features of the regulatory mechanisms of the autonomic nervous system in patients with arterial hypertension with violation of the daily profile of arterial pressure. Cardiology. 2010;3:18-23 (In Russ.)].
41. [Ostroumova OD. Pervichko EI, Guseva TF, Baryshnikova ZM. Hypertension in the workplace. Russian medical journal. 2006;14(4):213-6 (In Russ.)].
42. Kollmann K, Liiders S, Eckardt R, Nordbruch B, Schrauder J. Blutdruckverhaten von Patienten mit Hypertonie ber der Arbeit im Vergleich zur Freizeit. Nieren-und Hochdruckkrankheiten. 1996;8:352-4.
43. Palatini P. Masked hypertension: how can the condiotion be detected? Blood pressure monitoring. 2004;9:297-9. doi.org/10.1097/00126097-200412000-00005
44. Karasek R, Theorell T. Healthy Work. Stress, Productivity, and the Reconstruction of Working Life. New York: Basic Books, 1990. doi.org/10.1177/002218569103300112
45. Schnall PL, Schwartz JE, Landsbergis PA, Warren K, Pickering TG. A longitudinal study of job strain and ambulatory blood pressure: results from a three-year follow-up. Psychosom Med. 1998;60:697-706. doi.org/10.1097/00006842-199811000-00007
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1 ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский университет), Москва, Россия;
2 ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России, Самара, Россия
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L.A. STRIZHAKOV 1, S.A. BABANOV 2, M.V. LEBEDEVA 1, S.V. MOISEEV 1, V.V. FOMIN 1
1 The First Moscow Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation, Moscow, Russia;
2 Samara State Medical University of the Ministry of Health of the Russian Federation, Samara, Russia.