2025, Volume 31, Issue 2
CLINICAL AND CERTIFICATION DILEMMAS IN AVIATION MEDICINE IN THE CONTEXT OF THE DIAGNOSIS AND TREATMENT OF ARTERIAL HYPERTENSION
EWELINA ZAWADZKA-BARTCZAK1, LECH KOPKA2
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1Department of Internal Disease, Cardiology and Metabolic Disorders, Military Institute of Aviation Medicine
2Military Institute of Aviation Medicine
Autor korenspondencyjny: EWELINA ZAWADZKA-BARTCZAK; Department of Internal Disease, Cardiology and Metabolic Disorders, Military Institute of Aviation Medicine; email: e.zawadzka@wiml.waw.pl
Streszczenie
Abstract: Arterial hypertension constitutes one of the greatest public health challenges of the 21st century. Its role in the etiology of cardiovascular diseases (CVD), such as myocardial infarction, stroke, and heart failure, has been repeatedly confirmed in epidemiological and clinical studies. In recent years, changes have been observed in both the definition and classification of hypertension, as well as in approaches to pharmacological and non-pharmacological treatment, as reflected in the new ESC 2024 guidelines. This paper reviews current blood pressure classification criteria, compares European and American guidelines, summarizes therapeutic changes, and discusses population-specific determinants—including those concerning military pilots—in the context of pathophysiology and aviation medicine.
Słowa kluczowe
hypertension, military pilots, ESC Guidelines