Shpak L V, Kolbasnikov S V
Ter Arkh. 2001;73(1):43-6.
To specify circulatory disorders in the bed of common carotid artery (CCA) in hypertensive patients and these disorders influence on psychovegetative and hemodynamic disturbances.
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).
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.
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.
