Preview

EMERGENCY MEDICAL CARE

Advanced search

Identification of the cause of the development of neurocirculatory dystonia: a clinical case

https://doi.org/10.24884/2072-6716-2023-24-4-78-83

Abstract

This article is devoted to neurocirculatory dystonia with an analysis of a clinical case and the search for the cause of the development of the disease. The patient presented for clinical analysis was observed for a long time by doctors of various profiles, who prescribed her a variety of therapy depending on the symptoms. At the same time, almost no specialist suspected the neurotic nature of the disease in order to refer the patient to the appropriate specialist. This situation is quite typical for patients with neurocirculatory dystonia. Often patients with neurotic disorders turn to therapists, cardiologists and gastroenterologists due to the fact that the symptoms mimic a variety of pathologies of internal organs. Patients actively seek help from a doctor and are ready for various studies, they have a “rich experience” in communicating with doctors of various specialties, they endure numerous, often repeated examinations, they are prescribed a variety of medications. Thus, patients become dependent on permanent diagnostic studies and frequently changing medical prescriptions.

About the Authors

R. G. Khabchabov
Dagestan State Medical University
Russian Federation

Rustam G. Khabchabov

Makhachkala



E. M. Makhmudova
Dagestan State Medical University
Russian Federation

Elmira R. Makhmudova

Makhachkala



A. A. Abdullaev
Dagestan State Medical University
Russian Federation

Aligadzhi A. Abdullaev

Makhachkala



R. M. Gafurovа
Dagestan State Medical University
Russian Federation

Raziyat M. Gafurovа

Makhachkala



U. A. Islamova
Dagestan State Medical University
Russian Federation

Ummet A. Islamova

Makhachkala



M. A. Dzhanbulatov
Dagestan State Medical University
Russian Federation

Murat A. Dzhanbulatov

Makhachkala



A. A. Anatova
Dagestan State Medical University
Russian Federation

Aminat А. Anatova

Makhachkala



A. A. Yumushov 
Dagestan State Medical University
Russian Federation

Aznaur А. Yumushov 

Makhachkala



References

1. Amоsova E.N. Cardiopsychoneurosis. Clinical cardiology, 2020, No. 2 (7), pp. 755–787 (In Russ.).

2. Frolova N.L. Neurocirculatory asthenia: psychoautonomic features and treatment possibilities // BMJ Books. 2021. Vol. 112, No. 12. P. 51–54.

3. Borghi C., Ambrosioni E. Survival of Myocardial Infarction Long-term Evaluation Study Group. Effects of zofenopril on myocardial ischemia in post-myocardial infarction patients with preserved left ventricular function // Amer. Heart J. 2018. Vol. 5. Р. 7–14.

4. Belenkov Yu.N., Oganova R.G. Autonomic dysfunction of the heart. Cardiology, 2018, Vol. 7, No. 3, pp. 1158–1168 (In Russ.).

5. Latfullin I.A. Neurocirculatory dystonia: diagnosis or syndrome? Cardiology, 2018, No. 4, pp. 59–61 (In Russ.).

6. Makolkin V.I. Neurocirculatory dystonia: myth or reality? Cardiology, 2018, Vol. 2, No. 4, pp. 62–65 (In Russ.).

7. Nesukai E. G., Kovalenko V. N. Neurocirculatory dystonia. Cardiology, 2018, Vol. 4, No. 7, pp. 908–913 (In Russ.).

8. Khabchabov R. G., Makhmudova E.R., Abdullaev A.A., Gafurova R. M., Islamova U.A., Dzhanbulatov M.A. Assessment of the quality of life and functional state of the cardiovascular system in patients who have recovered from COVID­19. Current problems of medicine, 2021, No. 4 (44), pp. 373–382 (In Russ.).

9. Sidorenko G.I. Neurocirculatory dystonia. Cardiology, 2020, Vol. 10, No. 43, pp. 93–97 (In Russ.).

10. Scribner A., Loscalzo J., Napoli C. The effect of angiotensin-­converting enzyme inhibition on endothelial function and oxidant stress // Eur. J. Pharmacol. 2021. Vol. 482. Р. 95–99.

11. Boden W., O’Rourke R., Teo K. et al. Optimal medical therapy with or without PCI for stable coronary disease // N. Engl. J. Med. 2020. Vol. 356. Р. 1503–1519.


Review

For citations:


Khabchabov R.G., Makhmudova E.M., Abdullaev A.A., Gafurovа R.M., Islamova U.A., Dzhanbulatov M.A., Anatova A.A., Yumushov  A.A. Identification of the cause of the development of neurocirculatory dystonia: a clinical case. EMERGENCY MEDICAL CARE. 2023;24(4):78-83. (In Russ.) https://doi.org/10.24884/2072-6716-2023-24-4-78-83

Views: 187


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-6716 (Print)