[Circular disorders in the common carotid artery bed and associated psychovegetative and hemodynamic disturbances in hypertensive patients].
OBJECTIVE
To specify circulatory disorders in the bed of common carotid artery (CCA) in hypertensive patients and these disorders influence on psychovegetative and hemodynamic disturbances.


METHODS
Ultrasonic dopplerography of the region of common carotid artery, ECG, examinations of central hemodynamics, vegetative regulation of cardiac rhythm and psychic status were performed in 200 patients with arterial hypertension (AH).


RESULTS
AH patients with unaffected CCA circulation have common central and cerebral hemodynamics, hyperkinetic circulation, retain psychovegetative adaptation. Left ventricular myocardial hypertrophy is absent. In impaired elasticity and tonicity of the vascular wall there was hypokinetic circulation, left ventricular hypertrophy, anxiohypochondria in high sympathetic activity. In stenotic CCA the patients have hypokinetic circulation, left ventricular hypertrophy and dilation and resultant asthenodepressive disorders and vegetative dystonia.


CONCLUSIONS
Aggravation of cerebrovascular insufficiency goes in parallel with AH progression and arterial atherosclerosis. Changes of circulation variant, left ventricular cardiodynamic rearrangement are accompanied with changes in psychovegetative homeostasis.
Shpak
L V
LV
Kolbasnikov
S V
SV
D001007:Anxiety / Q000209:etiology; D001247:Asthenia / Q000209:etiology; D002340:Carotid Artery Diseases / Q000150:complications / Q000503:physiopathology* / Q000523:psychology*; D017536:Carotid Artery, Common / Q000473:pathology / Q000503:physiopathology; D002560:Cerebrovascular Circulation; D003863:Depression / Q000209:etiology; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000503:physiopathology* / Q000523:psychology*; D008297:Male; D008875:Middle Aged