Vegetative-vascular dystonia (VVD , cardiopsychoneurosis ) - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Diseases Of The Heart And Blood Vessels

vegetative-vascular dystonia (VVD or cardiopsychoneurosis) - a pathological condition, failure of compensatory activity of the autonomic nervous system.Perhaps this is the most frequent diagnosis that put physicians and causes dissatisfaction of the patient, confusion and anxiety - perhaps doctors still something serious is not found, lost?

It is caused by this situation is the fact that vascular dystonia - this is not a disease but a symptom complex, it can be for very many organic diseases: physical and neurological, endocrine, gynecological, oncological, and so on, with the endocrine hormonal disorders.Most ESP is a functional one, that is not associated with a serious illness.Such psychogenic breach between the cerebral cortex and subcortical structures of the type "I want - I can not."And there are symptoms of dystonia.Symptoms can be varied.This is due to the variety of functions performed by the autonomic nervous system.

Causes of vegetative-vascular dystonia

autonomic nervous system located

in the brain and spinal cord, has the nerves and ganglia neurotransmitters (acetylcholine, norepinephrine) ...
autonomic nervous system ensures the regulation of activities of all internal organs, glands, external and internal secretion,lymph and blood vessels, provides a constant (homeostasis) of the internal environment and the adaptation of the internal organs to changing environmental conditions.

sympathetic and parasympathetic autonomic nervous system have the opposite effect on the organs work.And once disturbed the balance between the influence, there is an imbalance in the work - vegetative-vascular dystonia.But it is said very simply, and the regulation mechanism and the relationship of organs and systems are very complex.

On the occurrence of vegetative-vascular dystonia affects constitutional predisposition, environment, human environment - family, religion, climate, education, culture, and frequent or prolonged stress in this environment.Suffer vascular dystonia people at any age.

symptoms of vegetative-vascular dystonia

Localization main symptoms of vegetative-vascular dystonia distinguish VSD on respiratory, cerebral, cardiac, gastroenterological, vegetative-visceral type, with impaired thermoregulation.

vascular dystonia can manifest persistent symptoms - cardiovascular, neuromuscular, neuroendocrine, cognitive (violation of intellectual functions), mental (neurosis, depression, panic attacks) and paroxysmal (paroxysmal) - hypotonic, hypertonic type, mixedtypes.

VSD on hypotonic type is characterized by a decrease in blood pressure.
VSD on hypertonic type is characterized by increased blood pressure.
VSD on the mixed type is characterized by periodic oscillations in blood pressure.

For all types of vegetative-vascular dystonia is characterized by crises.When vascular dystonia on hypertonic type observed anxiety, heart palpitations, sudden excitement, the symptoms of panic attacks, high blood pressure, cold extremities, chills.When vascular dystonia hypotonic type - general weakness, shortness of breath, nausea, fading of the heart, sweating, low blood pressure.When vegetative-vascular dystonia of mixed type all of the above symptoms in varying degrees.

vegetative crises (sympathadrenalic) caused by the predominant influence of the sympathetic nervous system - increased blood pressure, tachycardia, oznobopodobny hyperkinesis (jitter), pyrexia, pain in the heart, fear, anxiety, panic, cold sweat, limb numbness.

vagoinsulyarnyh crises VSD caused by the predominant influence of the parasympathetic nervous system - fatigue, decreased blood pressure, respiratory disorders, bradycardia (slowing of heart rate and, accordingly, pulse), a sense of "fading" of the heart, dizziness, dysfunction of the digestive system, hyperhidrosis (sweating), polyuria.Mixed

crises combine a variety of symptoms, and combinations thereof.

flow of vegetative-vascular dystonia long, perhaps for years, with periods of remissions and exacerbations.


With the prevalence of cardiovascular disorders in a complex of existing vegetative disorders sometimes use the term "cardiopsychoneurosis".Note, however, that cardiopsychoneurosis is an integral part of the broader concept of vegetative-vascular dystonia.There are three types neurocirculatory Dystonia: cardiac, vascular, and mixed.

Cardiac type neuro dystonia (functional cardiomyopathy) appears arrhythmias and conduction (sinus bradycardia, extrasystoles, paroxysmal and neparoksizmalnaya tachycardia, atrioventricular block I-II degree), violation of ventricular repolarization (nonspecific ST-segment changes), some forms of mitral valve prolapse.

cardiopsychoneurosis on vascular type is accompanied by arterial hypertension (cardiopsychoneurosis of hypertensive type) or hypotension (cardiopsychoneurosis hypotonic type).

Mixed neurocirculatory dystonia has elements of both the cardiac and vascular types with different combinations of symptoms.

When recurring headaches, change in blood pressure, dizziness, weakness, fatigue, difficulty with memory, anxiety, emotional lability (mood swings), sleep disturbances, fear for their health (hypochondriasis), pain in the heart, heart rhythm disturbances, shortness of breath, feeling of "lump" in his throat, abdominal pain, numbness ... virtually any breach in health should see a doctor.

survey in vegetative-vascular dystonia

For statement of the diagnosis VSD required consultation of various experts and surveys (individually, depending on the symptoms detected).The therapist, neurologist, ophthalmologist, endocrinologist, gynecologist (for women) - the most short list of possible consultations.

To confirm the diagnosis of VSD, it is necessary to exclude possible organic somatic disease, which can give manifestation syndrome of vegetative-vascular dystonia in each patient individually.And, accordingly, told in detail the complaints and found during the examination, the doctor appointed by the symptoms of the necessary studies.

patient Objective: To elaborate on his feelings.For example, do not just - I have a headache, and detelno - where it hurts (forehead, neck, temple, on the one hand, or diffuse), how it hurts (pulses, baking, firing, bursting ...) what you feel, what feelings accompanied(may be pressure on the eyes and ears may vomiting, dizziness, visual impairment, ...) that precedes the headache - changes in weather conditions, stress, overwork ...

Of the possible examinations for suspected VSD neuroscientists often use - electrocardiogram, Doppler vascular, CTand magnetic resonance tomography examinations of ophthalmologist, endocrinologist, internist.To exclude thyroid disease (hyperthyroidism and hypothyroidism can manifest symptoms of vegetative-vascular dystonia) using laboratory tests - examined the activity of the thyroid hormone and ultrasound.

When diagnosed VSD and eliminated all possible somatic diseases, appointed individual treatment.

Treatment of vegetative-vascular dystonia

is strongly recommended for the successful treatment of vegetative-vascular dystonia modify lifestyle, work and rest, welcome exercise in game mode, but not in a professional, swimming, running, aerobics, fitness, douches, stay in the fresh air, healthy food, sleep 8 hours a day, a visit to a therapist, spa treatment in sanatoriums neurological using all kinds of balneotherapy (hydrotherapy), reflexology, aromatherapy, physiotherapy, massage.This important recommendation, patients are often not taken seriously, and thus aggravate their condition.

Preparations for the treatment of vegetative-vascular dystonia

Use of antidepressants and tranquilizers.

Medication individual purpose - symptomatic.How versatile autonomic nervous system, how diverse clinical presentation of dystonia, as is variable assigned therapeutic combination.Assigns all medications and dosage indicated by the doctor.

An increase in blood pressure - antihypertensive drugs, with tachycardia - .beta.-blockers, hypotension - caffeine, ginseng with B vitamins

When venous insufficiency - vazoket, venoplant, detraleks.These drugs are taken with heaviness in the head, throbbing, bursting headache, worse after sleep, and in the hot season (on doplerography examination in this case - confirmed by venous insufficiency), take a long time from 1 to 2 months, more often in the evening 1 tablet.

When dizziness and increase in blood pressure can be taken cavinton, cavinton retard, Oxybral, vinpocetine, Sermion, nitserium.When reduced pressure and dizziness - drugs ginkgo biloba - memoplant, ginkofar.

When the noise in my head added betaserk - adults to 16mg, 3 times a day or 24mg 2 times a day for a long time - from 1 to 2 months.In acute-onset vertigo you can put the tablet under the tongue for fast action.

anxiolytic effect have tranquilizers - afobazol, for example.You can take a month to 1 tablet 3 times a day.

Antidepressants prescribed by a doctor - need to know that the minimum intake of such drugs 6 months and effect is an average of 10-14 days.Antidepressant effect has orange color - use it.Orange, orange juice, colorful umbrella ...

Smile, targeted stretching of the lips into a smile helps activate areas of the brain associated with the formation of positive emotions.Smile more often - it increases vitality.

When asthenic syndrome, tserebrostenii appoint neuroprotective agents, antioxidants, substances that improve blood circulation and microcirculation - nootropil, piracetam, Fenotropil, mildronat, cavinton, Sermion, glycine, trental.Nootropil (piracetam, Lutset) take 1200 twice a day - morning and afternoon, for at least a month.Fenotropil 1 tablet per day.Glycine is necessary to dissolve 2 tablets three times a day for 1-2 months.

the treatment of vegetative dystonia may use herbs for sedation (uspokayuschego), an antidepressant effect on the nervous system (normalization of mood, anxiety, withdrawal, mental overstrain):

  • Melissa - a sedative and antispasmodic with anxiolytic, antidepressant effect."Delight Heart" called Avicenna balm that makes the heart happy, strengthens the spirit and drives away dark thoughts.Use as a medicinal teas, decoctions, infusions.
    St. John's Wort - antidepressant action - reduces anxiety, anxiety, normalizes sleep.Used in combination tablets - Novo-Pass, available in tablets - Despres.
  • hops - sedative effect, analgesic effect.
  • Hawthorn - normalizes heart rate, lowers blood pressure, has a calming effect.
  • Mint - antispasmodic, hypnotic, sedative, choleretic, reduces nausea.
    valerian - the sedative effect, normalizes sleep, relieves emotional stress.
    Use a combination of drugs - dormiplant, new Pass sedasen, Sedavit.

When VSD on hypertonic type can be used sedatives grass and hawthorn, Cudweed, Raunatin, rosehips.You can take an infusion of hawthorn on ¼ cup 4 times a day before meals (1 tablespoon of hawthorn flowers to 1 cup of hot water, to insist 2 hours).It is necessary to reduce the amount of salt consumed, caffeine, alcohol, fats.Diet need to diversify the vitamin - vegetables and fruits, pomegranates, apples, grapefruit, garlic, chocolate.Useful light exercise and fresh air, marine treatments, reflexology.

When VSD on hypotonic type can be used ginseng, Siberian ginseng, Chinese magnolia vine, which increase efficiency and blood pressure - has a tonic and adaptogenic properties.With increased excitability, insomnia can not be used.The infusion of ginseng taken in the morning on an empty stomach and 1 teaspoon for a month.Recommended oxygen, pearl, aromatic bath, circular, fan toning shower, physiotherapy, sports, reflexology.

All medications and therapeutic measures appoints and supervises the doctor.

neurologist Kobzev SV

Medical consultation for vegetative-vascular dystonia

Question: How to get rid of vegetative-vascular dystonia (VVD)?How to cure a vegetative dystonia?

Answer: For the treatment of vascular dystonia doctors prescribe specific medications, including sedatives and antidepressants.Note, however, that taking drugs in the vegetative-vascular dystonia is necessary only with the knowledge of a doctor, because they can be addictive!

Pretty effective treatment can be vegetative vascular dystonia folk remedies: in particular, for the purification of vessels infusions, tinctures heart, but only in the absence of contraindications to it.Treatment of vegetative dystonia herbs (hawthorn, motherwort, etc.) Also belong to national treatment, these funds are only complementary.Treatment of vascular dystonia folk remedies in practice does not recover, however, has a beneficial effect on the body, relieves some symptoms.

maximum useful when vegetative vascular dystonia physiotherapy, providing a restorative effect on the body.Exercising at VSD - an excellent tool for training the body and increase its efficiency.When vegetative vascular dystonia exercise, thought taking into account age, state of health of the patient, is a must.However, the exercises at the IRR should be soft and completely rule out jumping.It should also be borne in mind that the sedentary life in general is the prevention of vegetative dystonia.

Vacations - the best cure for vascular dystonia.Naturally, one can not quit work.However, afford to travel outside of the city it is possible and necessary.Treat the symptoms of vegetative dystonia in sanatoria is paid a lot of attention - there are lots of special procedures that will help a person to feel much better.Based on the results we can say that the treatment of vascular dystonia spa procedures are simply irreplaceable.

Question: I have a diagnosis of vegetative-vascular dystonia.I was appointed physician medication, but improving after treatment was observed.In that case, how do I cure the IRR?

Answer: The reasons for such diseases as IRR, can often be psychological disorders (stress, depression, neurosis, fatigue, chronic fatigue).It is impossible to separate mental health from physical health now combines both aspects.Fear, phobia - of that there are panic attacks, vascular dystonia or chronic fatigue syndrome.All of it is treated by psychotherapists without pills by-established techniques.The treatment uses a method of behavioral therapy and hypnotherapy.

Question: Which is better - to drink antidepressants and medications for years or get rid of VVD symptoms and panic attacks when visiting a therapist?

If the cause of the disease are physical factors, then assign the treatment of VSD medicines can and should be.However, drugs in the vegetative vascular dystonia, which are due to psychological disorders, simply irrelevant.Not help in this case, the treatment of VSD and folk remedies.