Стресс-индуцированная артериальная гипертония - Журнал Терапевтический архив №7 Vario 2022

Стресс-индуцированная артериальная гипертония

Амбатьелло Л.Г. Стресс-индуцированная артериальная гипертония. Терапевтический архив. 2022;94(7):908–913. DOI: 10.26442/00403660.2022.07.201733

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Ambatiello LG. Stress-induced arterial hypertension. Terapevticheskii Arkhiv (Ter. Arkh.). 2022;94(7):908–913.
DOI: 10.26442/00403660.2022.07.201733

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Аннотация

Стресс рассматривается как один из факторов, ассоциированных с развитием многих заболеваний, в том числе сердечно-сосудистой системы. История изучения стресса как фактора риска артериальной гипертонии (АГ) началась в первой половине XX в. и продолжилась после внедрения в клиническую практику суточного мониторирования артериального давления (СМАД), когда выяснилось, что помимо нормотонии, устойчивой гипертонии имеет место скрытая гипертония: маскированная (когда клиническое АД в пределах нормы, а по данным СМАД и/или самоконтроля АД регистрируется АГ) и гипертония «белого халата» (повышенного АД во время визита к врачу при нормальных значениях АД по данным СМАД или при самоконтроле АД). В настоящее время оба варианта скрытой АГ относят к стресс-индуцированной АГ. Для изучения стресса предложено несколько моделей, однако практически все клинические исследования основаны на двух из них: модель Karasek (в основе лежит дисбаланс между предъявляемыми к работе требованиями и широтой принятия решений работником) и модель Siegrist (основана на дисбалансе усилий работника и получаемом вознаграждении за проделанную работу). Имеются лишь единичные работы, в которых проводились попытки связать повышение АД с параметрами оценки стресс-реакции (например, с гормональным уровнем) или генетической предрасположенностью. В обзоре обсуждаются наиболее значимые работы по изучению стресс-индуцированной АГ, опубликованные к настоящему времени.

Ключевые слова: стресс-индуцированная артериальная гипертония, гипертония на рабочем месте, маскированная артериальная гипертония, гипертония «белого халата»

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Stress is considered as one of the factors associated with the development of many diseases, including the cardiovascular system. The history of studying stress as a risk factor for hypertension began in the first half of the 20th century and continued after the introduction of 24-hour blood pressure monitoring (ABPM) into clinical practice. Then it turned out that there is normotension, stable hypertension and latent hypertension: masked (when clinical BP is within the normal range, and arterial hypertension is recorded according to ABPM and/or self-monitoring of BP) and “white coat” hypertension (increased BP during a visit to the doctor when normal values of blood pressure according to ABPM or self-monitoring of BP). Currently, both variants of latent hypertension are classified as stress-induced arterial hypertension. Several models have been proposed for the study of stress, but two of them are more common in clinical studies: the Karasek model (based on an imbalance between job demands and job decision latitude) and the Siegrist model (based on an imbalance of effort and reward). There are only few studies in where attempts have been made to link the increase in BP with the parameters of stress response (for example, with hormonal levels) or genetic predisposition. The review discusses the most significant studies of stress-induced arterial hypertension published to date.

Keywords: stress-induced arterial hypertension, job strain hypertension, masked arterial hypertension, white coat hypertension

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Список литературы

1. Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hy-pertension. Eur Heart J. 2018;39(33):3021-104. DOI:10.1093/eurheartj/ehy339
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6. Bobrie G, Clersonb P, Menardc J, et al. Masked hypertension: a systematic review. J Hypertens. 2008,26:1715-25. DOI:10.1097/HJH.0b013e3282fbcedf
7. 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:10.1097/00126097-199912000-00006
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9. Baguet J, Levy P, Tamisier R, et al. Masked hypertension and obstructive sleep apnea syndrome (OSAS). Sleep Меdicine. 2006;7:67. DOI:10.1016/j.sleep.2006.07.161
10. Parati G, Stergiou G, O’Brien E, et al. European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring. J Hypertens. 2014;32:1359-66. DOI:10.1097/HJH.0000000000000221
11. Mancia G, Facchetti R, Bombelli M, et al. Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension. 2006;47:846-53. DOI:10.1161/01.HYP.0000215363.69793.bb
12. Banegas JR, Ruilope LM, de la Sierra A, et al. Relationship between clinic and ambulatory blood-pressure measurements and mortality. N Engl J Med. 2018;378:1509-20. DOI:10.1056/NEJMoa1712231
13. Bobrie G, Chatellier G, Genes N, et al. Cardiovascular prognosis of “masked hypertension” detected by blood pressure self-measurement in elderly treated hypertensive patients. JAMA. 2004;291:1342-9. DOI:10.1001/jama.291.11.1342
14. Fagard RH, Cornelissen VA. Incidence of cardiovascular events in white-coat, masked and sustained hypertension versus true normotension: a meta-analysis. J Hypertens. 2007;25:2193-8. DOI:10.1097/HJH.0b013e3282ef6185
15. Mancia G, Zanchetti A. White-coat hypertension: misnomers, misconceptions and misunderstandings. What should we do next? J Hypertens. 1996;14:1049-52. DOI:10.1097/00004872-199609000-00001
16. Mancia G, Bombelli M, Cuspidi C, et al. Cardiovascular risk associated with white-coat hypertension: pro side of the argument. Hypertension. 2017;70:668-75. DOI:10.1161/HYPERTENSIONAHA.117.08903
17. Nadinloyi KB, Sadeghi H, Hajloo N. Relationship Between Job Satisfaction and Employees Mental Health. Procedia – Soc Behav Sci. 2013;84:293-7. DOI:10.1016/j.sbspro.2013.06.554
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21. Руководство по кардиологии в 4 т. Т. 3: Заболевания сердечно-сосудистой системы. Под ред. акад. Е.И. Чазова. М.: Практика, 2014 [Rukovodstvo po kardiologii v 4 t. T. 3: Zabolevaniia serdechno-sosudistoi sistemy. Pod red. akad. EI Chazova. Moscow: Praktika, 2014 (in Russian)].
22. Edwards JR, Harrison RV. Job demands and worker health: three-dimensional reexamination of the relationship between person-environment fit and strain. J Appl Psychol. 1993;78(4):628-48. DOI:10.1037/0021-9010.78.4.628.
23. Karasek R. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Quaterly. 1979;24:285-308. DOI:10.2307/2392498
24. Siegrist J. Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996;1(1):27-41. DOI:10.1037/1076-8998.1.1.27
25. Scand J. On effort-reward imbalance and depression. Work Environ Health. 2017;43(4):291-3. DOI:10.5271/sjweh.3642
26. Schnall PL, Pieper C, Schwartz JE, et al. The relationship between “job strain“ workplace diastolic blood pressure, and left ventricular mass index. Results of a case-control study. JAMA. 1990;263(14):1929-35.
27. Schnall PL, Schwartz JE, Landsbergis PA, et al. A Longitudinal Study of Job Strain and Ambulatory Blood Pressure. Results from a three-year follow-up. Psychosom Med. 1998;60(6):697-706.
28. Landsbergis PA, Schnall PL, Pickering TG, et al. Life-course exposure to job strain and ambulatory blood pressure in men. Am J Epidemiol. 2003;157(11):998-1006. DOI:10.1093/aje/kwg095
29. Bosma H, Peter R, Siegrist J, Marmot M. Two alternative job stress models and the risk of coronary heart disease. Am J Public Health. 1988;88(1):68-74. DOI:10.2105/AJPH.88.1.68
30. Steptoe A, Brydon L, Kunz-Ebrecht S. Changes in Financial Strain Over Three Years, Ambulatory Blood Pressure, and Cortisol Responses to Awakening. Psychosom Med. 2005;67(2):281-7. DOI:10.1097/01.psy.0000156932.96261.d2
31. Trudel X, Brisson С, Milot A. Job Strain and Masked Hypertension. Psychosom Med. 2010;72(8):786-93. DOI:10.1097/PSY.0b013e3181eaf327
32. Trudel X, Milot A, Gilbert-Ouimet M, et al. Effort-reward imbalance at work and the prevalence of unsuccessfully treated hypertension among white-collar workers. Am J Epidemiol. 2017;186(4):456-62. DOI:10.1093/aje/kwx116
33. Menni C, Bagnardi V, Padmanabhan S, et al. Evaluation of How Gene-Job Strain Interaction Affects Blood Pressure in the PAMELA Study. Psychosom Med. 2011;73(4):304-9. DOI:10.1097/PSY.0b013e318212e0be
34. Ратова Л.Г., Чазова И.Е. Стресс-индуцированная артериальная гипертония – клинические особенности и возможности лечения. Системные гипертензии. 2012;9(4):50-3 [Ratova LG, Chazova IE. Stress-induced arterial hypertension – clinical features and treatment options. Systemic Hypertension. 2012;9(4):50-3 (in Russian)].
35. Babu GR, Jotheeswaran AT, Mahapatra T, et al. Is hypertension associated with job strain? A meta-analysis of observational studies. Postgrad Med J. 2014;90(1065):402-9. DOI:10.1136/postgradmedj-2013-101396rep
36. Joseph N, Muldoon M, Manuck S, et al. The Role of Occupational Status in the Association Between Job Strain and Ambulatory Blood Pressure During Working and Nonworking Days. Psychosom Med. 2016;78(8):940-9. DOI:10.1097/PSY.0000000000000349
37. Rengganis AD, Rakhimullah AB, Garna H. The Correlation between Work Stress and Hypertension among Industrial Workers: A Cross-sectional Study. IOP Conf. Series: Earth and Environmental Science. 2020;441:012159. DOI:10.1088/1755-1315/441/1/012159
38. Birk J, Cornelius T, Edmondson D, Schwartz JE. Duration of Perseverative Thinking as Related to Perceived Stress and Blood Pressure: An Ambulatory Monitoring Study. Psychosom Med. 2019;81(7):603-11. DOI:10.1097/PSY.0000000000000727

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1. Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hy-pertension. Eur Heart J. 2018;39(33):3021-104. DOI:10.1093/eurheartj/ehy339
2. Singh A, Collins B, Gupta A, et al. Cardiovascular risk and statin eligibility of young adults after an MI: Partners YOUNG-MI Registry. J Am Coll Cardiol. 2018;71(3):292-302. DOI:10.1016/j.jacc.2017.11.007
3. Stress and pathology. Methodical development for independent work of students of medical and pediatric faculties. Pod red. prof. GV Poryadina. Moscow: RGMU, 2009 (in Russian).
4. Lang GF. Gipertonicheskaia bolezn'. Leningrad: MEDGIS, Leningrad branch, 1950 (in Russian).
5. Puzserova A, Bernatova I. Blood pressure regulation in stress: focus on nitric oxide-dependent mechanisms. Physiol Res. 2016;65(Suppl. 3):S309-42. DOI:10.33549/physiolres.933442
6. Bobrie G, Clersonb P, Menardc J, et al. Masked hypertension: a systematic review. J Hypertens. 2008,26:1715-25. DOI:10.1097/HJH.0b013e3282fbcedf
7. 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:10.1097/00126097-199912000-00006
8. Pickerihg TG, Eguchi K, Kario K. Masked hypertension: a review. Hypertens Res. 2007;30:479-88. DOI:10.1291/hypres.30.479
9. Baguet J, Levy P, Tamisier R, et al. Masked hypertension and obstructive sleep apnea syndrome (OSAS). Sleep Меdicine. 2006;7:67. DOI:10.1016/j.sleep.2006.07.161
10. Parati G, Stergiou G, O’Brien E, et al. European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring. J Hypertens. 2014;32:1359-66. DOI:10.1097/HJH.0000000000000221
11. Mancia G, Facchetti R, Bombelli M, et al. Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension. 2006;47:846-53. DOI:10.1161/01.HYP.0000215363.69793.bb
12. Banegas JR, Ruilope LM, de la Sierra A, et al. Relationship between clinic and ambulatory blood-pressure measurements and mortality. N Engl J Med. 2018;378:1509-20. DOI:10.1056/NEJMoa1712231
13. Bobrie G, Chatellier G, Genes N, et al. Cardiovascular prognosis of “masked hypertension” detected by blood pressure self-measurement in elderly treated hypertensive patients. JAMA. 2004;291:1342-9. DOI:10.1001/jama.291.11.1342
14. Fagard RH, Cornelissen VA. Incidence of cardiovascular events in white-coat, masked and sustained hypertension versus true normotension: a meta-analysis. J Hypertens. 2007;25:2193-8. DOI:10.1097/HJH.0b013e3282ef6185
15. Mancia G, Zanchetti A. White-coat hypertension: misnomers, misconceptions and misunderstandings. What should we do next? J Hypertens. 1996;14:1049-52. DOI:10.1097/00004872-199609000-00001
16. Mancia G, Bombelli M, Cuspidi C, et al. Cardiovascular risk associated with white-coat hypertension: pro side of the argument. Hypertension. 2017;70:668-75. DOI:10.1161/HYPERTENSIONAHA.117.08903
17. Nadinloyi KB, Sadeghi H, Hajloo N. Relationship Between Job Satisfaction and Employees Mental Health. Procedia – Soc Behav Sci. 2013;84:293-7. DOI:10.1016/j.sbspro.2013.06.554
18. Rosenthal T, Alter A. Occupational stress and hypertension. J Am Soc Hypertens. 2012;6:2-22. DOI:10.1016/j.jash.2011.09.002
19. Ostroumova OD, Kochetkov AI. Worksite hypertension as a model of stress-induced arterial hypertension. Terapevticheskii Arkhiv (Ter. Arkh.). 2018;9:123-32 (in Russian). DOI:10.26442/terarkh2018909123-132
20. Chazova IE, Zhernakova YuV on behalf of the experts. Clinical guidelines. Diagnosis and treatment of arterial hypertension. Systemic Hypertension. 2019;16(1):6-31 (in Russian). DOI:10.26442/2075082X.2019.1.190179
21. Rukovodstvo po kardiologii v 4 t. T. 3: Zabolevaniia serdechno-sosudistoi sistemy. Pod red. akad. EI Chazova. Moscow: Praktika, 2014 (in Russian).
22. Edwards JR, Harrison RV. Job demands and worker health: three-dimensional reexamination of the relationship between person-environment fit and strain. J Appl Psychol. 1993;78(4):628-48. DOI:10.1037/0021-9010.78.4.628.
23. Karasek R. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Quaterly. 1979;24:285-308. DOI:10.2307/2392498
24. Siegrist J. Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol. 1996;1(1):27-41. DOI:10.1037/1076-8998.1.1.27
25. Scand J. On effort-reward imbalance and depression. Work Environ Health. 2017;43(4):291-3. DOI:10.5271/sjweh.3642
26. Schnall PL, Pieper C, Schwartz JE, et al. The relationship between “job strain“ workplace diastolic blood pressure, and left ventricular mass index. Results of a case-control study. JAMA. 1990;263(14):1929-35.
27. Schnall PL, Schwartz JE, Landsbergis PA, et al. A Longitudinal Study of Job Strain and Ambulatory Blood Pressure. Results from a three-year follow-up. Psychosom Med. 1998;60(6):697-706.
28. Landsbergis PA, Schnall PL, Pickering TG, et al. Life-course exposure to job strain and ambulatory blood pressure in men. Am J Epidemiol. 2003;157(11):998-1006. DOI:10.1093/aje/kwg095
29. Bosma H, Peter R, Siegrist J, Marmot M. Two alternative job stress models and the risk of coronary heart disease. Am J Public Health. 1988;88(1):68-74. DOI:10.2105/AJPH.88.1.68
30. Steptoe A, Brydon L, Kunz-Ebrecht S. Changes in Financial Strain Over Three Years, Ambulatory Blood Pressure, and Cortisol Responses to Awakening. Psychosom Med. 2005;67(2):281-7. DOI:10.1097/01.psy.0000156932.96261.d2
31. Trudel X, Brisson С, Milot A. Job Strain and Masked Hypertension. Psychosom Med. 2010;72(8):786-93. DOI:10.1097/PSY.0b013e3181eaf327
32. Trudel X, Milot A, Gilbert-Ouimet M, et al. Effort-reward imbalance at work and the prevalence of unsuccessfully treated hypertension among white-collar workers. Am J Epidemiol. 2017;186(4):456-62. DOI:10.1093/aje/kwx116
33. Menni C, Bagnardi V, Padmanabhan S, et al. Evaluation of How Gene-Job Strain Interaction Affects Blood Pressure in the PAMELA Study. Psychosom Med. 2011;73(4):304-9. DOI:10.1097/PSY.0b013e318212e0be
34. Ратова Л.Г., Чазова И.Е. Стресс-индуцированная артериальная гипертония – клинические особенности и возможности лечения. Системные гипертензии. 2012;9(4):50-3 [Ratova LG, Chazova IE. Stress-induced arterial hypertension – clinical features and treatment options. Systemic Hypertension. 2012;9(4):50-3 (in Russian)].
35. Babu GR, Jotheeswaran AT, Mahapatra T, et al. Is hypertension associated with job strain? A meta-analysis of observational studies. Postgrad Med J. 2014;90(1065):402-9. DOI:10.1136/postgradmedj-2013-101396rep
36. Joseph N, Muldoon M, Manuck S, et al. The Role of Occupational Status in the Association Between Job Strain and Ambulatory Blood Pressure During Working and Nonworking Days. Psychosom Med. 2016;78(8):940-9. DOI:10.1097/PSY.0000000000000349
37. Rengganis AD, Rakhimullah AB, Garna H. The Correlation between Work Stress and Hypertension among Industrial Workers: A Cross-sectional Study. IOP Conf. Series: Earth and Environmental Science. 2020;441:012159. DOI:10.1088/1755-1315/441/1/012159
38. Birk J, Cornelius T, Edmondson D, Schwartz JE. Duration of Perseverative Thinking as Related to Perceived Stress and Blood Pressure: An Ambulatory Monitoring Study. Psychosom Med. 2019;81(7):603-11. DOI:10.1097/PSY.0000000000000727

Авторы

Л.Г. Амбатьелло*

ФГБУ «Национальный медицинский исследовательский центр кардиологии им. акад. Е.И. Чазова» Минздрава России, Москва, Россия
*lali.ambatiello@mail.ru

________________________________________________

Lali G. Ambatiello*

Chazov National Medical Research Center of Cardiology, Moscow, Russia
*lali.ambatiello@mail.ru

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