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3 . 2024

Arterial hypertension in a young athlete

Abstract

Arterial hypertension (AH) can be detected even in young athletes, both at rest and during physical activity, which, even with normal office blood pressure numbers, is an important predictor of the development of persistent AH in later life. It is known that in athletes, AH can be masked, occurring only during training and competition and characterized by high metabolic risks and asymptomatic target organ damage. The prevalence of AH in young athletes, according to routine methods, coincides with that in the general population, however, office blood pressure measurements are not always able to detect increased blood pressure. This clinical case illustrates the diagnostic value of a comprehensive in-depth examination in identifying the manifestations of AH.

Keywords: athletes; arterial hypertension; 24-hour blood pressure monitoring; exercise test

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Balykova L.A., Shirokova A.A., Ivyansky S.A., Samoshkina E.S. Arterial hypertension in a young athlete. Kardiologiya: novosti, mneniya, obuchenie [Cardiology: News, Opinions, Training]. 2024; 12 (3): 57–60. DOI: https://doi.org/10.33029/2309-1908-2024-12-3-57-60 (in Russian)

References

1. Caselli S., Serdoz A., Mango F., et al. High blood pressure response to exercise predicts future development of hypertension in young athletes. Eur Heart J. 2019; 40 (1): 62–8. DOI: https://doi.org/10.1093/eurheartj/ehy810

2. Balykova L.A., Makarov L.M., Ivyanskiy S.A., Varlashina K.A. Cardiovascular Risks Associated with the use of Performance-Enhancing Stimulants. Kardiologiya [Cardiology]. 2021; 61 (6): 105–12. DOI: https://doi.org/10.18087/cardio.2021.6.n1018 (in Russian)

3. Schweiger V., Niederseer D., Schmied C., et al. Athletes and Hypertension. Curr Cardiol Rep. 2021; 23 (12): 176. DOI: https://doi.org/10.1007/s11886-021-01608-x

4. Saxena T., Ruiz J.R., Buxens A., et al. Pathophysiology of essential hypertension: an update. Expert Rev Cardiovasc Ther. 2018; 16 (12): 879–87. DOI: https://doi.org/10.1080/14779072.2018.1540301

5. Sung J., Cho S.J., Hong K.P. Relationship between fitness and arterial stiffness according to hypertensive state. Clinical and Experimental Hypertension. 2018: 1–6. DOI: https://doi.org/10.1080/10641963.2018.1545849

6. Morishima T., Padilla J., Tsuchiya Y., et al. Maintenance of endothelial function following acute resistance exercise in females is associated with a tempered blood pressure response. J Appl Physiol. 2020; 129 (4): 792–9. DOI: https://doi.org/10.1152/japplphysiol.00378.2020

7. Quarti-Trevano F., Seravalle G., Grassi G. Clinical Relevance of the Sympathetic-Vascular Interactions in Health and Disease. Biomedicines. 2021; 9 (8): 1007. DOI: https://doi.org/10.3390/biomedicines9081007

8. Authement C., Samuels J., Samuel J.P. Antihypertensives in Children and Adolescents. Curr Hypertens Rep. 2022; 24 (11): 581–7. DOI: https://doi.org/10.1007/s11906-022-01220-6

9. de Simone G., Mancusi C., Hanssen H., et al. Hypertension in children and adolescents. Eur Heart J. 2022; 43 (35): 3290–301. DOI: https://doi.org/10.1093/eurheartj/ehac328 PMID: 35896123.

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CHIEF EDITOR
CHIEF EDITOR
Andrey G. Obrezan
MD, Professor, Head of the Hospital Therapy Department of the Saint Petersburg State University, Chief Physician of SOGAZ MEDICINE Clinical Group, St. Petersburg, Russian Federation

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