[Characteristics of the status of autonomic innervation and of the functioning of the heart conduction system in alcoholism].
As many as 71 men fit for work (aged 32.6 years on the average) suffering from stage II alcoholism were examined with the aid of variation pulsimetry. The findings obtained were compared with the data of electrophysiological exploration of the heart by transesophageal pacing. In the majority of the patients (80.2% of cases), the changes in vegetative homeostasis manifested themselves primarily by activation of the sympathetic nervous system and combined both with a noticeable decrease of sinus node automatism function and an appreciable deterioration of conduction in the sinoatrial zone and atrioventricular junction. In addition, sinus node automatism function and sinoatrial conduction were inhibited to a greater degree in sympatheticotonia whereas deterioration of antegrade impulse conduction in the atrioventricular junction manifested itself mostly in association with predominant vagus influences. It is emphasized that in patients with alcoholism, sympatheticotonia was attended by different impairments of the heart rhythm in half of the cases.
Anikin
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Zakharov
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D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000503:physiopathology*; D001341:Autonomic Nervous System / Q000503:physiopathology*; D002304:Cardiac Pacing, Artificial; D002310:Cardiomyopathy, Alcoholic / Q000503:physiopathology; D004594:Electrophysiology; D006321:Heart / Q000294:innervation*; D006329:Heart Conduction System / Q000503:physiopathology*; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011674:Pulse / Q000502:physiology
Osobennosti sostoianiia vegetativnoĭ innervatsii i funktsionirovaniia provodiashcheĭ sistemy serdtsa pri alkogolizme.