ABSTRACT
Discontinuation of chemotherapy substituted for a course of acupuncture and electroacupuncture in 124 patients with coronary heart disease, essential hypertension and neurocirculatory dystonia resulted in a positive response of cerebral and peripheral hemodynamics, myocardial contractility and diastolic function. Myocardial hypertrophy regressed, exercise tolerance enhanced. Reflex activation of stress-limiting systems arresting excess adrenergic action on circulation is probably responsible for these phenomena.
Subject(s)
Acupuncture Therapy , Hemodynamics/physiology , Hypertension/therapy , Physical Endurance/physiology , Adult , Coronary Disease/physiopathology , Coronary Disease/therapy , Electroacupuncture , Evaluation Studies as Topic , Exercise Test , Humans , Hypertension/physiopathology , Middle Aged , Neurocirculatory Asthenia/physiopathology , Neurocirculatory Asthenia/therapyABSTRACT
Seventy patients with Stages I and II hypertensive disease underwent electrocardiographic studies of the emotional syndrome and central hemodynamics prior to and following reflexotherapy. Characteristics of the psychovegetative syndrome were identified in the patients. A significant antihypertensive effect and normalized psychological and vegetative parameters observed after reflexotherapy suggest that acupuncture is beneficial in the treatment at early stages of essential hypertension.
Subject(s)
Autonomic Nervous System/physiopathology , Cardiovascular System/innervation , Cerebral Cortex/physiopathology , Hemodynamics/physiology , Hypertension/physiopathology , Adult , Electroencephalography , Female , Humans , Male , Middle Aged , Time FactorsABSTRACT
Forty-nine patients with initial stages of essential hypertension (EH) were investigated using phase systole analysis and echocardiography during acupuncture (reflexotherapy) treatment. It was established that even at the initial stages of EH increasing of myocardial mass and the disturbances of contractile and diastolic activity of myocardium take place. As a result of acupuncture a stable hypotensive effect, improvement or normalization of contractile function and diastolic values, a decrease of energy loss, reversal of myocardial hypertrophy were achieved. It is the decrease of sympathetic influences on the circulation system that plays an important part in the onset of these positive changes.
Subject(s)
Acupuncture Therapy , Heart/physiopathology , Hypertension/therapy , Myocardial Contraction/physiology , Cardiomegaly/physiopathology , Diastole , Echocardiography , Humans , Hypertension/physiopathology , Reflexotherapy , SystoleABSTRACT
EEG, central hemodynamic parameters and the emotional syndrome were investigated in 55 patients with labile hypertension. Two cerebrovegetative patterns corresponding to different degrees of cortical activation and different mechanisms controlling arterial blood pressure and anxiety levels were identified. As the two groups of patients did not differ in terms of age or duration of the disease, those could not be attributed to different stages of the disease, suggesting rather that sympathetic and parasympathetic vegetative nervous components may be making different contributions to the formation of hemodynamic type.
Subject(s)
Autonomic Nervous System/physiopathology , Cerebral Cortex/physiopathology , Hypertension/physiopathology , Adult , Electroencephalography , Female , Hemodynamics , Humans , Hypertension/etiology , Male , Middle AgedABSTRACT
Central and peripheral hemodynamic effects of reflex therapy were assessed by means of echocardiography and rheovasography, as was the pulse rate, arterial blood pressure and peripheral vascular tonicity response to the baroreflex test in patients with neurocirculatory dystonia, the hypertensive syndrome and essential hypertension, stage IB-HA by L. A. Miasnikov's classification. The hypotensive effect and favorable central hemodynamic changes contribute to the recovery of an adequate pulse and blood pressure response to the baroreflex test, and a greater baroreflex test-induced drop in vascular tone.
Subject(s)
Hypertension/therapy , Neurocirculatory Asthenia/therapy , Pressoreceptors/physiopathology , Reflex/physiology , Reflexotherapy , Acupuncture Therapy/methods , Adult , Hemodynamics , Humans , Hypertension/diagnosis , Hypertension/physiopathology , Neurocirculatory Asthenia/diagnosis , Neurocirculatory Asthenia/physiopathology , Reflexotherapy/methodsSubject(s)
Coronary Disease/therapy , Reflexotherapy , Acupuncture Therapy , Angina Pectoris/physiopathology , Angina Pectoris/psychology , Angina Pectoris/therapy , Coronary Disease/physiopathology , Coronary Disease/psychology , Emotions/physiology , Female , Humans , Hypertension/physiopathology , Hypertension/psychology , Hypertension/therapy , Male , Middle Aged , Myocardial Contraction , Personality , Physical EnduranceABSTRACT
49 patients with initial stages of essential hypertension (EH) were investigated using phase systole analysis and echocardiography during acupuncture (reflexotherapy) treatment. It was established that even at the initial stages of EH increasing of myocardial mass and the disturbances of contractile and diastolic activity of myocardium take place. As a result of acupuncture a stable hypotensive effect, improvement or normalization of contractile function and diastolic values, a decrease of energy loss, reversal of myocardial hypertrophy were achieved. It is the decrease of sympathetic influences on the circulation system that plays an important part in the onset of these positive changes.
Subject(s)
Hypertension/physiopathology , Myocardial Contraction , Reflexotherapy , Acupuncture Therapy , Diastole , Echocardiography , Hemodynamics , Humans , Hypertension/therapy , Systole , Time FactorsABSTRACT
The results of an echocardiographic study of central hemodynamics and a rheovasographic study of vascular tonicity under the effect of reflex therapy in patients with essential hypertension (EH), stages IB-IIA, and those with neurocirculatory dystonia (NCD) associated with the hypertensive syndrome are reported. Initially, patients with NCD and EH, stage IB, showed hyperkinetic circulation, and those with EH, stage IIA, had hypokinetic circulation. The EH patients also exhibited elevated peripheral vascular tone. Minute volume of the heart was reduced in response to treatment in patients with NCD and EH, stage IB, and increased in those with EH, stage IIA in the presence of depressed BP. Peripheral vascular tone decreased in EH patients. Therefore, the two functional tests demonstrated the possibility of reflex control of hemodynamic disorders in hypertensive patients, with eukinetic circulation restored irrespective of their original nature.
Subject(s)
Acupuncture Therapy , Hemodynamics , Hypertension/therapy , Neurocirculatory Asthenia/therapy , Adult , Blood Pressure , Cardiac Output , Echocardiography , Follow-Up Studies , Humans , Hypertension/physiopathology , Middle Aged , Neurocirculatory Asthenia/physiopathology , Vascular ResistanceABSTRACT
Myocardial contractility was examined, using echo- and polycardiography, in patients with neurocirculatory dystonia. An increase was demonstrated in the duration of the phase of isometric tension, mechanical systole and cardiac index in the presence of raised peripheral resistance as well as increased energy spending and enhanced left-ventricular contraction. Auriculo-paravertebral method of reflexotherapy was applied, and the changed parameters returned to normal.
Subject(s)
Acupuncture Therapy , Hemodynamics , Myocardial Contraction , Neurocirculatory Asthenia/therapy , Systole , Adult , Female , Humans , Male , Neurocirculatory Asthenia/physiopathologyABSTRACT
Changes in central hemodynamics, systolic phase structure and capacity for physical work were examined, using respiration ergometry, in patients with neurocirculatory dystonia after a short course of treatment with beta-blockers. It was demonstrated that the treatment resulted in the eukinetic type of circulation, yet changes in physical working capacity showed opposite tendencies: oxygen support of exercise was improved in some patients only. A short-term beta-blocker treatment course can be used as a test of adequacy of the chosen therapy.
