EUROMEDICA 

Hanover

3-4  Juni 2010

Advanced methods of diagnosis,
treatment and prophylactics

European Academy of Natural Sciences, Hanover

European Scientific Society, Hanover

Berliner Medizinischen Gesellschaft, Berlin

V.V. Koryakov DIAGNOSTICS OF ASTHENIC AND HYPERSTHENIC SYNDROMES
“TOKARSIS-M” clinic, Vladikavkaz, Russia; E-mail: tokarsis@mail.ru

Cardiopsychoneurosis, juvenile paroxysmal tachycardia, vascular dystonia of involuntary nervous system, adrenal crisis, affective state, nervous exhaustion, hypochondria, depression, chronic fatigue syndrome, tomomania, cardiac neurosis, Da Costa’s syndrome and others are just a small part of diagnoses and syndromes within the limits of medical subspecialties meaning the same: noncompensated overexhitation or exhaustion of involuntary nervous system to a certain extent, that is neurotransmitter dystonia in hypersthenic and asthenic phase.

In order to figure out a drug dose correctly and choose a correct physiohaemotherapeutic method one should diagnosticate and differentiate hypersthenic condition from asthenic one. This will help to avoid overdose, side effects and open the way to standardization and control over medical treatment results.

We apply cardioratemetry according to R.M. Bayevskiy. As marker indices we regard mode amplitude, i.e. condition of sympathetic nervous system; range, i.e. condition of parasympathetic nervous system; stress index, i.e. integral index of neurohormonal condition.

We studied clinical course variants of 36 patients with asthenia and 29 patients with hypersthenia, aged from 15 to 87 years old of both sexes. We considered asthenic patients with mode amplitude under 45, hypersthenic patients with stress index over 1000, with marked symptoms of disease, as these indices are not absolute indicators because of individual peculiarities by which each case of the disease is characterized. The patients received combined treatment including laser therapy with red, blue and ultraviolet light, beta-adrenoceptor blockers, neuroleptics and symptomatic therapy.

Asthenic syndrome

Hypersthenic syndrome

Mode amplitude

Range

Stress index

Mode amplitude

Range

Stress index

Initially

34,81

0,22

85,07

85,79

0,04

1662,23

On 8th day

47,73

0,14

196,28

69,19

0,17

520

1st month

57,58

0,12

307,25

70,82

0,11

929,57

3rd month

51,43

0,12

216,74

59,73

0,12

383,43

Normal indices: mode amplitude – 45-55, range – 0,1-0,05, stress index – 90-180;

Our attention was drawn by changes of range – the latter indicating condition of parasympathetic nervous system – stipulated by participation of intercalary parasympathetic neurons in conduction of adrenergic impulse. Thus, cardioratemetry is a reliable method of diagnostics of vegetative and emotional disorders.