[The differential treatment of patients with neurocirculatory dystonia depending on the type of hemodynamic disorders]. / Differentsirovannoe lechenie bol'nykh neirotsirkuliatornoi distoniei v zavisimosti ot tipa gemodinamicheskikh narushenii.

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.

[Psychosomatic disorders in patients with neurocirculatory dystonia and their correction in the day hospital]. / Psikhosomaticheskie narusheniia u bol'nykh neirotsirkuliatornoi distoniei i ikh korrektsiia v dnevnom statsionare.

Clinical and psychological tests were used to examine 77, 31 and 32 patients with normotonic, hypertonic and hypotonic neurocirculatory asthenia, respectively. Compared to control subjects, 80% of the patients responded to stress with psychic and social dysadaptation (psychic asthenia, frustration, emotional lability, hypothymism) as well as depression with visceral manifestations: cardialgia, extrasystole, lability of arterial pressure. Chemotherapy, physical and psychological treatment in day hospital produced a response in 89.2% of neurocirculatory asthenia sufferers.