[Anxiety and hemodynamics: correlations in hypertensive patients].
OBJECTIVE
Syndrome analysis of functional relationships between personality disorders, autonomic regulation and psychic performance in relation to hemodynamic condition of hypertensive patients.


METHODS
MMP1, Tailor's anxiety scale, Burdon and Schulte tables, variation pulsometry, tetrapolar chest rheography were used in examination of 86 patients with stage I and II hypertension.


RESULTS
In early hypertension, weak anxiety and subclinical emotional disturbances, dominant was a parasympathetic trend of the vegetative tone without central control of the cardiac rhythm in hyperkinetic circulation. Changes in cortical neurodynamics manifested with minor attenuation of the ability to focus attention. Progression of angiospasticity and anxiety gave rise to psychic maladjustment in the form of anxiety-depression disorders with autonomic dysfunction in hypokinetic circulation, overcentralization of cardiac rhythm control. This was associated with a decline in mental performance.


CONCLUSIONS
Systemic investigations of the emotional sphere, central hemodynamics and autonomic regulation of cardiac rhythm enable assessment of multilevel structure and severity of psychocardiac syndrome in hypertensive patients which is important both for therapeutic and expert practice.
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LV
Shpak
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SV
Kolbasnikov
D001007:Anxiety / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology*; D001341:Autonomic Nervous System / Q000503:physiopathology; D018450:Disease Progression; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D011581:Psychological Tests; D012720:Severity of Illness Index