[The differential treatment of patients with neurocirculatory dystonia depending on the type of hemodynamic disorders].
Echocardiography and tetrapolar impedance plethysmography were employed to study 160 patients with normotensive, hypertensive and hypotensive neurocirculatory asthenia (NCA). In hyperkinetic circulation registered in 53.8% of the examinees the patients received therapy aimed at stabilization of cardiac output, i.e. beta-adrenoblockers, calcium antagonists. In NCA free of hyperkinetic hemodynamics on-demand use was made of diuretics, cholinolytic and sedative drugs. The correction of bioenergetic and metabolic impairments detected in the myocardium was performed with potassium drugs, antioxidants, metabolic agents. Positive shifts achieved with the treatment available for general practitioners were seen in 90.7% of the NCA patients permitting recommendation of this approach for introduction into outpatient practice.
Tatarintsev
A N
AN
Dvorkin
A I
AI
Semchenko
V M
VM
D000328:Adult; D004341:Drug Evaluation; D004359:Drug Therapy, Combination; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D007022:Hypotension / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D008297:Male; D009449:Neurocirculatory Asthenia / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology
Differentsirovannoe lechenie bol'nykh neĭrotsirkuliatornoĭ distonieĭ v zavisimosti ot tipa gemodinamicheskikh narusheniĭ.