Such a difficult diagnosis of the VSD

In the therapist's work there are often patients who complain of heart pain , irregular heartbeat, numerous violations in the work of other organs. An objective examination of such patients, instrumental studies and laboratory tests reveals a very small number of symptoms of the disease, which makes diagnosis of the VSD difficult.

Vegeto-vascular dystonia is a functional disease that manifests itself by various changes in the cardiovascular, respiratory system, vegetative disorders and general asthenia. With this disease, patients note a poor tolerance of stressful situations and increased physical exertion. The change in the state has a wavy course with periods of exacerbation and remissions. When VSD does not develop cardiomegaly and heart failure, so the disease does not lead to complications and has a good prognosis.

The etiology of this disease is not exactly established. VSD - polyethological disease. Currently, we can only talk about the likely causes of the disease. Predispose to the development of dystonia bad socio-economic conditions, hormonal changes in the body, hereditary and constitutional features.

Clinical signs of VSD vary widely, which often makes diagnosis difficult. Patients often complain about a variety of pain in the heart, which can be of different nature, duration and severity. Complaints from the heart with AVR are usually accompanied by anxiety, anxiety, weakness, decreased mood. Paroxysmal pain is accompanied by vegetative disorders, which are manifested by a feeling of lack of air, palpitations, sweating. Some patients complain of frequent shallow breathing, perceived by patients as dyspnea, the appearance of a desire to take deep breaths from time to time.

Patients complain of palpitations, a feeling of intensified contractions of the heart. Heart palpitations are provoked by emotional stress, physical work, eating.

In most patients, it is possible to identify asthenia in the form of a feeling of weakness, constant fatigue, a decrease in working capacity.

Patients VSD very badly tolerate changes in temperature. They feel bad both in the heat and in the cold.

The complications of the disease include the development of vegetative-vascular crises. It happens mostly at night, they are manifested by a feeling of lack of air, trembling, chills, profuse sweating, severe dizziness. This state lasts for several minutes or two to three hours. The crisis is stopped by the use of sedatives.

Diagnostics of VSD

The diagnosis of VSD is based on identifying the symptoms that occur with this disease, and excluding diseases that have similar symptoms. Since the clinical picture of vegetative-vascular dystonia contains symptoms typical for many diseases, the following signs distinguish the diagnosis of VSD:

- changes in the size of the heart;

- presence of diastolic noise;

- determination of ECG signs of focal changes in the myocardium;

- symptoms of congestive heart failure;

- indices of impaired immunological reactivity.

Differential diagnosis of VSD provides for the exclusion of the following diseases:

- Ischemic heart disease;

- infectious-allergic myocarditis;

- rheumatism and acquired heart defects of rheumatic aetiology;

- Cardiomyopathy.

Treatment of CSA is predominantly symptomatic. Of great importance is the normalization of the way of life, general strengthening measures and exclusion of the impact on the body of factors that contribute to the development of the disease. From medications prescribe sedatives, tranquilizers, beta-blockers, antidepressants.