RESUMEN
No disponible
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Anestésicos Locales/efectos adversos , Síndrome de Horner/diagnóstico , Dolor Postoperatorio/tratamiento farmacológico , Adenomatosis Pulmonar/diagnóstico , Diarrea/etiología , Hematoma/diagnóstico , Astenia Neurocirculatoria/etiología , Toracotomía/efectos adversosAsunto(s)
Anestésicos Locales/efectos adversos , Síndrome de Horner/diagnóstico , Dolor Postoperatorio/tratamiento farmacológico , Adenomatosis Pulmonar/diagnóstico , Diarrea/etiología , Femenino , Hematoma/diagnóstico , Humanos , Persona de Mediana Edad , Astenia Neurocirculatoria/etiología , Toracotomía/efectos adversosAsunto(s)
Vasculitis Asociada a Anticuerpos Citoplasmáticos Antineutrófilos/complicaciones , Electrocardiografía , Estado de Salud , Hiperpotasemia/diagnóstico , Debilidad Muscular/etiología , Astenia Neurocirculatoria/etiología , Vasculitis Asociada a Anticuerpos Citoplasmáticos Antineutrófilos/diagnóstico , Diagnóstico Diferencial , Humanos , Masculino , Persona de Mediana EdadRESUMEN
AIM: To evaluate the efficacy of cytoflavin in the treatment of patients with hypertensive encephalopathy (HE). SUBJECTS AND METHODS: One hundred and forty patients aged 39 to 73 years, diagnosed with HE, were examined and randomized to 2 groups. A study group (n = 74) received cytoflavin in a dose of 2 tablets b.i.d. on days 1 to 25 days inclusive during standard basic therapy. A comparison group (n = 66 persons) had standard basic therapy only. A control group consisted of 30 apparently healthy individuals. The investigators studied the frequency of headache, dizziness, and other complaints and the intensity of cephalalgic syndrome, by using a visual analog scale, the quality of life by the Medical Outcomes Study 36-Item Short-Form Health Survey (MOS SF-36) questionnaire, that of sleep by the subjective sleep characteristics questionnaire elaborated at the Moscow City Somnological Center, the level of asthenia by a subjective asthenia rating scale (Multidimensional Fatigue Inventory (MFI-20), and autonomic status, by applying objective and subjective scales on days 1 and 25 of therapy. RESULTS: The study has shown that cytoflavin used in the above dose for 25 days reduces the frequency and magnitude of complaints of headache, dizziness, "venous" complaints, the degree of autonomic and asthenic disorders, and impairments in the quality of sleep and life in the patients with HE at all disease stages. A stepwise discriminant analysis has indicated that the degree of cephalgic syndrome, and autonomic disorders, and worse sleep quality are the most effective points for using the energy-modifier cytoflavin. CONCLUSION: HE treatment based on the current pathogenetic principles may have a preventive impact on the development of HE or slow down the rate of its progression.
Asunto(s)
Mononucleótido de Flavina/administración & dosificación , Cefalea , Encefalopatía Hipertensiva , Inosina Difosfato/administración & dosificación , Astenia Neurocirculatoria , Niacinamida/administración & dosificación , Trastornos del Sueño-Vigilia , Succinatos/administración & dosificación , Administración Oral , Adulto , Anciano , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Monitoreo de Drogas , Metabolismo Energético/efectos de los fármacos , Femenino , Cefalea/diagnóstico , Cefalea/tratamiento farmacológico , Cefalea/etiología , Humanos , Encefalopatía Hipertensiva/complicaciones , Encefalopatía Hipertensiva/tratamiento farmacológico , Encefalopatía Hipertensiva/metabolismo , Encefalopatía Hipertensiva/fisiopatología , Encefalopatía Hipertensiva/psicología , Masculino , Persona de Mediana Edad , Astenia Neurocirculatoria/diagnóstico , Astenia Neurocirculatoria/tratamiento farmacológico , Astenia Neurocirculatoria/etiología , Dimensión del Dolor/métodos , Polisomnografía , Calidad de Vida , Índice de Severidad de la Enfermedad , Trastornos del Sueño-Vigilia/diagnóstico , Trastornos del Sueño-Vigilia/tratamiento farmacológico , Trastornos del Sueño-Vigilia/etiología , Resultado del Tratamiento , Escala Visual Analógica , Complejo Vitamínico B/administración & dosificaciónAsunto(s)
Fístula Arteriovenosa/complicaciones , Glomerulonefritis/complicaciones , Hipertensión/complicaciones , Hipertensión/terapia , Astenia Neurocirculatoria/etiología , Fístula Arteriovenosa/terapia , Progresión de la Enfermedad , Glomerulonefritis/terapia , Insuficiencia Cardíaca/complicaciones , Humanos , Ligadura , Masculino , Persona de Mediana Edad , Diálisis Renal , Insuficiencia del TratamientoRESUMEN
The article presents a correlation analysis between hemodynamic changes occurred after performing submaximum physical activity using bicycle ergometer (physical stress) and intravenous injection of adrenalin (pharmacological stress) in 30 liquidators of Chernobyl accident and who have a neurocirculatory dystonia syndrome. It enables to establish interrelations for a number of maximal values of parameters of hemodynamics which is determined by the same shifts in circulatory system with sympathoadrenal direction during these two kinds of stress influence.
Asunto(s)
Epinefrina/administración & dosificación , Ejercicio Físico/fisiología , Hemodinámica/fisiología , Astenia Neurocirculatoria , Enfermedades Profesionales , Simpatomiméticos/administración & dosificación , Adulto , Accidente Nuclear de Chernóbil , Prueba de Esfuerzo , Hemodinámica/efectos de los fármacos , Humanos , Infusiones Intravenosas , Masculino , Persona de Mediana Edad , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/fisiopatología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/fisiopatología , Síndrome , UcraniaRESUMEN
The paper is devoted to the study of the course of pregnancy in women with mitral valve prolapse of various severity. With progression of pregnancy (especially the period from II to III trimester) symptoms increase. This is manifested as appearance or intensification of signs of neuro-circulatory dystonia (characteristic for patients with mitral valve prolapse irrespective of pregnancy). However these signs do not interfere with normal delivery.
Asunto(s)
Prolapso de la Válvula Mitral/diagnóstico , Complicaciones Cardiovasculares del Embarazo , Adulto , Diagnóstico Diferencial , Progresión de la Enfermedad , Ecocardiografía , Femenino , Estudios de Seguimiento , Humanos , Prolapso de la Válvula Mitral/complicaciones , Prolapso de la Válvula Mitral/fisiopatología , Astenia Neurocirculatoria/diagnóstico , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/fisiopatología , Embarazo , Resultado del Embarazo , Trimestres del Embarazo , Índice de Severidad de la EnfermedadRESUMEN
The article is dedicated to therapeutic efficacy of a combination of the antihypoxant bemithyl and the antidepressant pyrazidol in patients with asthenoneurotic and asthenovegetative syndromes after moderate isolated brain injury (BI). The combined therapy was shown to reduce long-term sequences of BI such as asthenic symptoms, stabilize both lipid peroxidation processes and serum antioxidative systems.
Asunto(s)
Antidepresivos/uso terapéutico , Antioxidantes/uso terapéutico , Bencimidazoles/uso terapéutico , Lesiones Encefálicas/complicaciones , Carbazoles/uso terapéutico , Astenia Neurocirculatoria/tratamiento farmacológico , Adolescente , Adulto , Quimioterapia Combinada , Femenino , Estudios de Seguimiento , Humanos , Peroxidación de Lípido/efectos de los fármacos , Peroxidación de Lípido/fisiología , Masculino , Persona de Mediana Edad , Astenia Neurocirculatoria/sangre , Astenia Neurocirculatoria/etiología , Resultado del TratamientoAsunto(s)
Astenia Neurocirculatoria , Estrés Psicológico , Diagnóstico Diferencial , Terapia por Estimulación Eléctrica , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/terapia , Estrés Psicológico/complicaciones , GuerraAsunto(s)
Disnea , Astenia Neurocirculatoria , Trastorno de Pánico , Terapia Cognitivo-Conductual , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Disnea/diagnóstico , Disnea/epidemiología , Disnea/etiología , Disnea/terapia , Humanos , Astenia Neurocirculatoria/diagnóstico , Astenia Neurocirculatoria/epidemiología , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/terapia , Trastorno de Pánico/diagnóstico , Trastorno de Pánico/epidemiología , Trastorno de Pánico/etiología , Trastorno de Pánico/terapia , Psicotrópicos/uso terapéutico , Estándares de Referencia , Estrés Psicológico/complicaciones , SíndromeAsunto(s)
Medicina Osteopática/historia , Enfermedades de la Vesícula Biliar/etiología , Enfermedades de la Vesícula Biliar/historia , Historia del Siglo XX , Humanos , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/historia , Úlcera Péptica/etiología , Úlcera Péptica/historia , Tirotoxicosis/etiología , Tirotoxicosis/historiaAsunto(s)
Enfermedades Cardiovasculares/epidemiología , Personal Militar , Astenia Neurocirculatoria/epidemiología , Medicina Aeroespacial , Enfermedades Cardiovasculares/etiología , Enfermedades Cardiovasculares/fisiopatología , Electrocardiografía , Humanos , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/fisiopatología , Estudios ProspectivosRESUMEN
AIM: Clarification of opisthorchiasis role in development of secondary neurocirculatory dystonia (NCD) and assessment of myocardial condition in patients with chronic opisthorchiasis (CO) with consideration of the disease duration and intensity of opisthorchotic invasion. MATERIAL AND METHODS: The trial enrolled 120 patients with CO, 35 patients with cardial NSD and 33 healthy controls. RESULTS: In long history of opisthorchiasis and severe invasion, autonomic cardiovascular regulation was abnormal. If CO patients have NCD, myocardial 99mTc-pyrophosphate scintigraphy reveals diffuse metabolic lesion of the myocardium. Long-term autonomic dysregulation of the cardiovascular system in CO and absence of adequate therapy lead to formation of progressive autonomic imbalance syndrome with sympathetic hypertonicity provoking metabolic disturbances of the myocardium.
Asunto(s)
Cardiomiopatías/etiología , Miocardio/metabolismo , Astenia Neurocirculatoria/etiología , Opistorquiasis/complicaciones , Adulto , Cardiomiopatías/metabolismo , Femenino , Humanos , Masculino , Astenia Neurocirculatoria/fisiopatologíaRESUMEN
Permanent magnetic field was applied by placing two magnetic discs (induction 60 mT) in the projection of great arteries on both sides symmetrically. The treatment was given to hypertensive patients with vegetovascular asthenia. A course of such magnetic treatment affects pathogenetic mechanisms of vegetative disorders due to the ability of permanent magnetic field to restore vegetative homeostasis, normalize sympathicotony and vegetative regulation.
Asunto(s)
Enfermedades del Sistema Nervioso Autónomo/terapia , Magnetismo/uso terapéutico , Astenia Neurocirculatoria/terapia , Adulto , Enfermedades del Sistema Nervioso Autónomo/complicaciones , Enfermedades del Sistema Nervioso Autónomo/fisiopatología , Presión Sanguínea/fisiología , Femenino , Frecuencia Cardíaca/fisiología , Humanos , Masculino , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/fisiopatología , Reflejo AnormalRESUMEN
The rates of morbidity with temporary working incapacity (TWI) of magnetic-powder defectoscopic operators are discussed. The incidence of diseases with TWI and the days of disability in the study group of workers are greater than the average industrial rates. A comprehensive physical examination detected asthenic vegetative syndrome. This shows it necessary to improve methodological approaches to medical examinations of workers exposed to electromagnetic waves.
Asunto(s)
Campos Electromagnéticos/efectos adversos , Astenia Neurocirculatoria/etiología , Enfermedades Profesionales/etiología , Vías Férreas , Humanos , Astenia Neurocirculatoria/diagnóstico , Enfermedades Profesionales/diagnóstico , Ocupaciones , Factores de TiempoRESUMEN
AIM: Investigation of clinical-laboratory parameters of secondary immunodeficiency (SID) in patients with neurocirculatory dystonia (NSD). MATERIALS AND METHODS: Vegetative and immunological statuses were assessed in 104 males aged 30 to 57 years with NSD exposed to 0.01-0.1 Gy radiation after the Chernobyl accident. RESULTS: The patients were diagnosed to have SID the types and forms of which differed with NSD type. Symptoms of SID were evident in 29, 18, 13 and 83% of patients with mixed, hypotonic, hypertonic NSD, NSD without somatic disorders, respectively. CONCLUSION: As 85% of the examinees had SID, it is necessary to treat NSD with immunomodulation adjusted to each NSD type.
Asunto(s)
Síndromes de Inmunodeficiencia/etiología , Astenia Neurocirculatoria/inmunología , Centrales Eléctricas , Traumatismos por Radiación , Liberación de Radiactividad Peligrosa , Adyuvantes Inmunológicos/uso terapéutico , Adulto , Distonía , Humanos , Síndromes de Inmunodeficiencia/diagnóstico , Síndromes de Inmunodeficiencia/terapia , Masculino , Persona de Mediana Edad , Astenia Neurocirculatoria/etiología , Astenia Neurocirculatoria/terapia , Dosis de Radiación , UcraniaRESUMEN
The patient with hepatocellular disease shows marked vasodilatation, accompanied by hyperdynamic circulation and opening of arteriovenous shunts. The effect of these circulatory changes and especially the profound vasodilation has only recently been investigated in detail. In patients with hepatocellular failure the extremities are flushed, the pulses bounding, the cardiac output increased and the blood pressure low. The circulation resembles what found with systemic arteriovenous fistulae. The peripheral vasodilatation and splanchnic venous pooling reduce the effective blood volume so activating baroreceptors. The secondary events which follow the vasodilation include stimulation of the sympathetic nervous system. This serves to counteract the tendency to arterial hypotension and probably contributes to renal hypoperfusion and to the hepatorenal syndrome development. The nature of the concerned vasodilators remains speculative, but is likely to be multiple. Whatever its nature, the substance might be formed by the sick hepatocyte, fail to be inactivated by it or bypass it through intra- or extra-hepatic portal systemic shunts. In cirrhosis the cardiac index and reduced systemic vascular resistance correlate with the Child's grade of liver failure. This article provides an overview of the general vasodilatory state and its effects on various organs. The mechanisms and the different vasoactive substances that might be responsible are also discussed.
Asunto(s)
Cirrosis Hepática/fisiopatología , Vasodilatación , Ascitis/etiología , Volumen Sanguíneo , Circulación Coronaria , Síndrome Hepatorrenal/etiología , Humanos , Hipotensión/etiología , Cirrosis Hepática/complicaciones , Enfermedades Musculares/etiología , Astenia Neurocirculatoria/etiología , Sistema Porta , Circulación Pulmonar , Enfermedades de la Piel/etiologíaRESUMEN
This paper is a sequel to my monograph on neurocirculatory asthenia and chronic fatigue syndrome. It pays special attention to the nature of chronic fatigue syndrome, to the forms of neurocirculatory asthenia, and above all to the 6th form in which profound fatigue is the dominant symptom. All forms including the 6th are characterized by the presence of concomitant symptoms due to dysfunction of the autonomic nervous system. Chronic fatigue syndrome as defined by Holmes et al is devoid of these symptoms. Up till the present day no case histories of it have been published. It is argued that chronic fatigue syndrome sensu Holmes et al does not exist, the 6th form of neurocirculatory asthenia having to take up its place.