Primary arterial hypertension in athletes

Intensive sports does not exclude the development of primary arterial hypertension in athletes, even considering that physical activity is considered as one of the primary preventive factors for this disease. Key features of interrelation between blood pressure regulation and intense physical activity are surveyed, features of etiology and pathogenesis of arterial hypertension in athletes are covered, data on specific arterial hypertension factors for athletes are provided in the article. The international criteria of primary arterial hypertension diagnosis in athletes (according to 36th Bethesda Conference, 2005) are listed, as well as local 2011 recommendations. Medical treatment algorithms of primary arterial hypertension in athletes are given, considering international anti-doping requirements for different sports. The principles of athletes with primary arterial hypertension medical admission to competitive sports are described, criteria for physical exercise limitations and complete retirement from sports are provided.