Psycho-emotional state of women with arterial hypertension in climacteric period

BACKGROUND. Reduction of the reproductive ability of the body and the cessation of menstrual function entails a change in the nervous, cardiovascular, bone, and neuroendocrine systems, which cannot but affect the quality of life of this category of patients. The literature data point to the relationship of emotional status with menopause and the developing visceral pathology, and also in some studies compared the severity of the menopausal syndrome in women with different psychological personality types. THE AIM was to assess the psycho-emotional state of women with arterial hypertension and menopausal syndrome. PATIENTS AND METHODS. The study involved 30 women with climacteric syndrome and arterial hypertension (AH), 30 women with arterial hypertension and without climacteric syndrome, and 20 women with climacteric syndrome without AH – control group. The mean age was 56.01±0.59 years. There were used clinical examination included a standardized questionnaire, history taking, and physical examination. RESULTS. In 1st group AH I was in 10%, AH II – 90 %, in group 2 AH I – 23.33 %, AH II – 76.67 %, respectively. The average blood pressure: in the 1st group 151.7±2.31/93.1±1.79 mmHg., in the 2nd group – 141.3±2.72/90.04±1.74 mmHg. CONCLUSIONS. Menopausal women are a special category of patients due to the frequent formation of hypertension in them. Against the background of a progressive decrease in estrogen synthesis, the clinical manifestations of arterial hypertension are aggravated, especially when combined with signs of menopausal syndrome.

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