Arterial Hypertension in Women in the Menopausal Period: Clinical, Functional and Psychological Features

Abstract

This scientific article examines some clinical, functional and psychological features of arterial hypertension in women in the menopausal period.. A total of 34 subjects aged 39-59 years were randomly assigned to 3 age-matched groups. Of these, the first two were premenopausal and postmenopausal hypertension patients, while the other two were premenopausal and postmenopausal women without hypertension. 86.4% of women with hypertension had severe clinical manifestations of menopausal syndrome with a predominance of neuro-vegetative and metabolic-endocrine disorders, the severity of which increased with the transition to post menopause. All women in the menopausal period have heart rhythm disorders. The most pronounced arrhythmic syndrome was found in postmenopausal patients with hypertension. With the onset of menopause, women with hypertension have an increase in the average daily systolic blood pressure, as well as the rate and magnitude of its morning rise, which are more pronounced in the postmenopausal period. The formation and development of hypertension in women in the menopausal period occurs against the background of activation of the sympathetic nervous system.