[Effect of oxygen baths and massage on hemodynamics in patients with neurocirculatory dystonia]. / Vliianie kislorodnykh vann i massazha na protsessy gemodinamiki u bol'nykh neirotsirkuliatornoi distoniei.

56 patients with neurocirculatory asthenia (NCA) of a hypertensive and cardial type aged 30 to 55 years took general oxygen baths and collar zone massage, no drugs were used. The baths and the massage improved the disease course in 92.6% patients: improved hemodynamics, relieved high vascular resistance, lowered high diastolic blood pressure, decreased heart rate in tachycardia. More effective was the treatment in hypertensive NCA.

[Patient education, medication and physical therapy. Balm for "cardiac neurosis"]. / Aufklärende Gespräche, Medikation und Physiotherapie. Balsam für die "Herzneurose".

In the management of psychogenic chest pain, the family doctor has a key role to play. His main task is to exclude physical or organic causes and identify the underlying psychogenesis--admittedly without wishing to establish a definitive (ICD-10) diagnosis. For this purpose, empathic reassurance of the patient is of major importance. Wherever possible, hospitalization of the patient for a diagnostic clarification should be avoided. Therapeutic options comprise suitable physiotherapy, psychohygienic measures, and appropriate pharmacotherapy. Major goals of such an approach are the establishment of a trusting relationship, and improving the patient's sleep patterns, physical fitness and emotional status. In the event of long-term persistence of the condition or a severe course, referral to a specialist is indicated.

[Cardiac neuroses]. / Herzneurose.

Cardiac neurosis is defined as heart complaints for which no organic cause can be found. Other common terms are "cardiac anxiety neurosis", "cardiac anxiety disorder", "cardiac phobia", "functional heart complaints" and "somatoform autonomous functional disorders of the cardiovascular system" (ICD-10). Although cardiac neurosis is rarely diagnosed, it is estimated that approximately 30 bis 40% of patients with cardiovascular disorders are actually suffering from functional complaints. Predisposing to the development of cardiac neurosis are insufficient internalization processes during childhood, leading to an insoluble autonomy dependency conflict. Cardiac neurosis is treated with drugs and psychotherapy.

[The effect of phyto-air ionization on the main homeostatic systems in patients with neurocirculatory dystonia and essential hypertension]. / Vliianie fitoaéroionizatsii na osnovnye gomeostaticheskie sistemy bol'nykh neirotsirkuliatornoi distoniei i éssentsial'noi gipertenziei.

We used phytoaeroionization in patients with neurocirculatory asthenia and essential hypertension. We discovered a favourable influence of phytoaeroionization on function of the brain and its hemodynamics. It also reduced the immunity response tension, activated hormone regulation, promoted mobilization of energetic resources of the organism which contribute to improvement of adaptation processes.

[Intracranial electrical stimulation in the treatment of neurocirculatory asthenia and essential hypertension]. / Intrakranial'naia elektrostimuliatsiia v lechenii vegetososudistoi distonii i gipertonicheskoi bolezni.

The treatment of neurocirculatory asthenia and essential hypertension stage I and II with low-frequency bioresonance intracranial electrostimulation (BIES) performed on portable two-channel unit SEM-02 led to uneventful sthenic condition, relief of headache, improved sleep and performance, exercise tolerance. The quality of the bioenergetic field advanced in all the patients. Low-energy BIES may be used in many diseases, provides fast therapeutic effect in minimal intake of drugs, is nontoxic and hypoallergic. The unit SEM-02 proved 2.6 and 1.41 times more effective than similar domestic and foreign equipment, respectively.

[Nondrug methods for the rehabilitation of participants in the cleanup of the aftermath of accident at the Chernobyl Atomic Electric Power Station who have neurocirculatory dystonia and hypertension]. / Nemedikamentoznye metody reabilitatsii uchastnikov likvidatsii posledstvii avarii na Chernobyl'skoi AES s neirotsirkuliatornoi distoniei i gipertonicheskoi bolezn'iu.

Among cardiovascular diseases registered in the Chernobyl wreckers neurocirculatory dystonia and hypertension occur most frequently. Combined treatment including electric sleep, iodinebromine baths, therapeutic exercise, massage relieves clinical symptoms, promotes positive rearrangement of hemodynamics, a decrease in myocardial hyperkinesis and vegetative dysfunction, an increase in cardiovascular reserves, correction of hypersympathicotonia and immune disorders.

[The effect of balneotherapy on the autonomic indices in children with neurocirculatory dystonia]. / Vliianie bal'neolecheniia na vegetativnye pokazateli u detei s neirotsirkuliatornoi distoniei.

Intervalocardiography was used to study the effect of carbon dioxide narzan baths on autonomic parameters in 125 children aged 10-15 with vascular dystonia (VD). In sympathicotonic VD vegetative background and reactivity did not change much. In vagotonic VD balneotherapy was adequate.

[The efficacy of electrotherapy with pulsed currents of different frequencies in combined forms of cerebrovascular and vertebrogenic pathology]. / Effektivnost' élektroterapii impul'snymi tokami raznykh chastot pri sochetannykh formakh tserebrovaskuliarnoi i vertebrogennoi patologii.

Sinusoidal modulated currents, fluctuorisation and interference therapy were compared for efficacy when applied according to segment-oriented technique to cervical and thoracic spine. A total of 150 patients with combined cerebrospinal and vertebrogenic lesions were treated in sanatorium on the Black sea shore (Yalta). These techniques demonstrated both similarity and difference in their effects. Mechanisms of action of the above variants of medium-frequency electrotherapy are considered.

[The course of the adaptation processes in patients with neurocirculatory dystonia during health resort treatment]. / Techenie protsessov adaptatsii u bol'nykh neirotsirkuliatornoi distoniei vo vremia kurortnogo lecheniia.

Low activity of adaptation processes which impedes obtaining good results of heath resort treatment was observed in 16.7% of patients with neurocirculatory asthenia. Such patients need additional therapeutic measures to correct neurovegetative activity, heart performance. General conditioning should be more intensive.

[A multimodality method for the rehabilitation of myocardial infarct patients with a hyperkinetic type of hemodynamics during convalescence]. / Kompleksnaia metodika reabilitatsii bol'nykh infarktom miokarda s giperkineticheskim tipom gemodinamiki v faze rekonvalestsentsii.

120 postmyocardial infarction patients with hyperkinetic hemodynamics have taken iodine-bromine baths, received beta-adrenoblockers and undergone electric sleep. The treatment effects on central hemodynamics, vegetative tone and collagen formation allowed the authors to develop a procedure combining physical factors and beta-adrenoblockers which proved advantageous for postmyocardial infarction patients.

The grey area of effort syndrome and hyperventilation: from Thomas Lewis to today.

Lewis used the diagnosis 'effort syndrome' for subjects whose ability to make and sustain effort had been reduced by homeostatic failure. A major element was depletion of the body's capacity for buffering the acids produced by exercise. In his view this systems disorder was not to be regarded as a specific organ disease, and losing sight of the metabolic element would foster the invention of fanciful, unphysiological diagnoses. His views were dismissed because normal resting plasma bicarbonate levels were considered by others in that era to exclude serious depletion of the body's total capacity for buffering the effects of exertion. Today, effort syndrome is still a useful diagnosis for a condition of exhaustion and failure of performance associated with depletion of the body's buffering systems. Other elements associated with homeostatic failure are now recognised, principally emotional hyperarousal and hyperventilation. Their physiological interrelationships are described. Effort syndrome is amenable to recovery through rehabilitation, and it may be a mistake to treat chronic fatigue syndrome and unspecific illness without including it in the differential diagnosis.