Hemodynamic and neuro-vegetative state of young officers working in law-enforcement organs and exposed to occupational stress

Study covered influence of occupational stress on hemodynamic and adaptive state of workers. Examination included 132 males aged up to 40 years, subjected over 1-5 years to occupational stress load varying in intensity and caused by operative work in law-enforcement organs. Reference group included the age-mates having no involvement into the operative work. In accordance with classification model of stress load by R. Karasek, T. Theorell (1990), the studied acitivity is associated with increased responsibility, time dificit, danger along with limitated possibility in personal decision making. Tests included diurnal monitoring of blood pressure in various days of week and evaluation of heart rhythm variability at rest and orthostasis. Findings are marked increase in time indexes of systolic and diastolic blood pressure both at daytime and night, as well as increased values of blood pressure morning rise and its speed. Changes were seen during the working day and disappeared during days off. Evidences were also changes in regulation balance with excessive sympathic adrenal influences not only during stress testing, but in initial rest state. Thus, the authors demonstrated possibility of neuro-vegetative and hemodynamic dysbalance development in young people exposed to quite short-time exposure to occupational stress load. Suggestions are more wide use of heart rhythm variability and blood pressure diurnal monitoring assessment during occupational examination of young men exposed to occupational stress load, for timely diagnosis of stress-associated dysregulatory syndrome with possible development of stable arterial hypertension in future.

профессиональный стресс, молодые мужчины, нейровегетативная дисрегуляция, occupational stress, young men, neuro-vegetative dysregulation

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