Hypotensive state-1

Dependence of the frequency of hypotension sports skills, experience, training and orientation training period gave led some authors regard the athletes always hypotension as an indicator of high fitness, ignoring the possibility of the existence of its pathological forms [Abramovich, DG, 1964, and others]. On the other hand, there were studies in which the athletes every hypotension was seen as pathological.
Now it is proved that group Athletes with hypotension uniform, and, along with the physiological hypotension it found its pathological form.
Comparative clinical and statistical analysis of a group of athletes of different sports specialties with hypotension and completely analogous to (gender, age, sports specialization, sportsmanship, etc.) to a group of athletes with normal blood pressure values (by 987 persons in each group), held in our laboratory M. Levin (1967) has shown that these groups are largely different from each other.
If we assume that hypotension in athletes is always a manifestation of high fitness, then the comparison of the two groups would be expected that the state of health, and many other features of the first will more fully than the latter. However, it was found that athletes with hypotension is much more likely have different complaints and suffer the so-called common cold, among them three times more people with chronic foci of infection, they are more likely a state of over-training, etc. In addition, it was found that the sports results in athletes with hypotension improved more slowly than in athletes with normal pressure, the response of the cardiovascular system to exercise less, etc. The ECG often determined by negative changes after exercise and various arrhythmias.
Thus, it appears that the health of a group of athletes with hypotension significantly worse than that of a group of athletes with normal blood pressure. Because they differ only blood pressure, these clinical differences should explain his influence.
Based on these data, it may give the impression that hypotension in athletes is always a pathological manifestation. However, this contradicts the fact that hypotension is more common in athletes with a great sports experience, with superior skill, mainly in the training period, and it is influenced by orientation training.
Analysis of published data and clinical examination of a large number of athletes with hypotension suggest that athletes meet the physiological hypotension, which is a high indicator of fitness, and hypotension and secondary hypotension, which may either be due to the presence of foci of chronic infection, or result from overwork. In a few cases, the athletes have the constant hypotension, which is independent of the state of fitness and training period, but also bears the physiological nature (physiological hypotension classification NS Molchanov).
Physiological hypotension as an indicator of high fitness athlete is transitory in nature and appear only in the state of fitness, mainly in the training period. With the deterioration of fitness blood pressure in these athletes in most cases rise and set at the lower limit of normal.
Thus, the athletes found a peculiar kind of physiological hypotension, which we called hypotension high fitness. Therefore, in the conventional classification of hypotension NS Molchanov physiological hypotension should be divided into two types: permanent, inherent to the person, and transient hypotension athlete as an indicator of high fitness.
The question of the proper clinical evaluation of hypotension in athletes has not only theoretical but also practical importance because, depending on its origin doctor should decide on the future of sports activity. However, clinical examination often encounters a number of difficulties in the differential diagnosis of various forms of hypotonic conditions in athletes. Yet the carefully assembled, both medical and sports detailed history and physical examination with analysis of the nature of complaints and identify foci of chronic infection can make a differential diagnosis between the four major forms of hypotension in athletes. Great importance in the differential diagnosis of various forms of hypotension has a set of special functional tests.

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