СВЯЗЬ ПСИХОВЕГЕТАТИВНОГО СТАТУСА РАБОТНИКОВ ПОДЗЕМНОГО ТРУДА С РИСКОМ РАЗВИТИЯ СИНДРОМА АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ

Abstract

The prevalence of cardiovascular diseases among underground workers requires the study of early diagnosis predictors’ methods development. The goal: to reveal the relationship between indicators of psycho-vegetative dysfunction and arterial hypertension development risk. Materials and methods: 60 miners with arterial hypertension syndrome, whose working conditions class are 3.3 - 3.4, were sent to the hospital from periodic medical examination. In the hospital, 38 (63%) employees were diagnosed «Hypertension». The comparison group - 49 non-underground workers, whose working conditions were classified as class 3.2. Study of the psycho-vegetative status was carried out with assessment of neuropsychic stress level, anxiety, attention function, subjective reflection of psycho-vegetative ill-being. Cardiovascular system state was assessed by functional, clinical and laboratory parameters. Results: Decreased attention (OR 7.50; 95% CI - 2.39 - 23.58), increased personal anxiety (OR 11.06 95% CI - 4.35 - 28.10) and increase of psycho-vegetative nature complaints number (OR 22.50; 95% CI - 7.09 - 71.41) was noted in the group of patients with arterial hypertension syndrome. A relationship has been established between psycho-vegetative indicators and "Hypertension" diagnosis. Conclusions: Correlation analysis reflects the mutual effect of psycho-vegetative indicators and clinical and functional changes in cardiovascular system. The study of workers psycho-vegetative status in "psychological portrait" form complements the etiopathogenetic picture of arterial hypertension in this group, let identify psychological predictors.