title: [Neuro-psychological status and its role in the formation of adaptive-compensatory reactions in patients with myocardial infarction].
abstract: The course of adaptative and compensatory responses are associated not only with the extent of myocardial lesion, but with the status of ++psycho-autonomic regulation. Lack of true psychogenias and nervous and mental disorders, mainly the adrenomedullary pattern of sympathetic activation in the acute period of the disease contribute to stabilization of cardiovascular values and an uncomplicated course of myocardial infarction. On the contrary, asthenization of the ++neuro-mental sphere due to premorbid conflict was accompanied largely by a noradrenaline++ sympathetic activation and reversible complications of myocardial infarction. Prolonged psychogenias and neurotic personality disadaptation promotes the development of depressive and hypochondriacal disorders in the acute period of the disease; these are followed mainly by parasympathetic autonomic responses and concurrent with severe myocardial infarction.
authors.forename: L V
authors.initials: LV
authors.lastname: Shpak
mesh_terms: D000222:Adaptation, Physiological / Q000502:physiology*; D000313:Adrenal Medulla / Q000378:metabolism*; D000328:Adult; D000368:Aged; D001341:Autonomic Nervous System / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000503:physiopathology / Q000523:psychology*; D009497:Neurotic Disorders / Q000150:complications / Q000503:physiopathology*; D009638:Norepinephrine / Q000378:metabolism / Q000502:physiology*; D011602:Psychophysiologic Disorders / Q000209:etiology / Q000503:physiopathology*
chemical_list: D009638:Norepinephrine
vernacular_title: Nervno-psikhicheskoe sostoianie i ego rol' v formirovanii adaptatsionno-kompensatornykh reaktsiĭ u bol'nykh infarktom miokarda.