[Emotional disorders in patients with controlled hypertension]

Area of Science:

• Cardiology
• Psychosomatic Medicine
• Autonomic Nervous System Research

Background:

• Essential hypertension (EH) affects a significant portion of the adult population.
• Understanding the interplay between cardiovascular health, autonomic function, and psychological well-being is crucial for comprehensive patient management.
• Controlled hypertension requires ongoing assessment beyond blood pressure readings.

Purpose of the Study:

• To comprehensively evaluate patients with controlled essential hypertension.
• To assess the functional state of the cardiovascular system in hypertensive patients.
• To investigate the vegetative and psycho-emotional status in individuals with controlled hypertension.

Main Methods:

• The study included 80 participants: 60 with essential hypertension (EH) and 20 healthy controls.
• Evaluated anthropometric parameters (height, weight, BMI) and central hemodynamics (heart rate, blood pressure).
• Assessed vegetative status using the Kerdo index and psycho-emotional status via multiple validated questionnaires (SCL-90R, HADS, SF-36, etc.).

Main Results:

• Significant differences were observed in psycho-emotional status between the hypertension group and the healthy control group.
• Established significant correlations between anthropometric indicators and the psycho-emotional status of hypertensive patients.
• Demonstrated significant links between the autonomic nervous system's state and the psycho-emotional status in patients with hypertension.

Conclusions:

• Psycho-emotional status is significantly altered in patients with controlled essential hypertension compared to normotensive individuals.
• Anthropometric measurements and autonomic nervous system function are associated with the psychological and emotional state of hypertensive patients.
• These findings highlight the importance of considering psychological and autonomic factors in the holistic management of hypertension.