IRR

VSD is a symptomatic complex that combines various disturbances in the functions of the vegetative system and is caused by disorders of their regulation. Deciphering VSD next is a vegeto-vascular dystonia. The concept of "dystonia" refers to violations of the tone balance, such parts of the nervous system as sympathetic and parasympathetic, as a source of various vegetative disorders.

The main mechanism for the manifestation of symptoms of VSD is stress emotional character in the form of acute shock, prolonged emotional experience, leading to the exhaustion of the nervous system. VSD is characterized by several syndromes of the disease, such as cardiac, tachycardic, bradycardic and arrhythmic.

The causes of

There are a variety of reasons that cause various disorders of the SS( cardiovascular system), among which there are infectious diseases, traumas, severe unrest, heavy surgery, blood loss. In addition, physical exercise, smoking, alcohol abuse, chronic infections, and other serious illnesses can contribute to the development of the IRR.

Many doctors associate the development of VSD with a hereditary etiology. Also this syndrome can have the constitutional nature of development and manifest itself already in early childhood in the form of instability of vegetative parameters.

VSD refers to a certain form of neurosis, in which the regulation of the vascular tone is impaired. Thus, the main role in the formation of this disease is attributed to violations of the entire nervous system. Insufficient provision of vegetative character is characteristic of VSD, which can develop with endocrine changes in the body during adolescence. In general, vegetative disorders at this age are manifested in the form of minor or severe disorders of the endocrine system.

VSD, for which a hypotonic type is characteristic, is diagnosed in adolescents and children. The cause of the development of the disease is acceleration, in which S.S.S.Does not have time for a too fast growing organism to provide it with the necessary nutrition. VSD at this age can be triggered by poor heredity, improper mode of the day, conflict at home or at school, and also transmitted infectious diseases.

Stress is one of the underlying causes of the emergence of VSD.At constant strong mental and nervous loads with morally unfavorable environment, disorders from the nervous system can cause serious diseases.

For example, VSD with hypertensive type of disease can provoke the development of hypertension. But with the normalization of wakefulness and sleep, sufficient rest and limited physical activity, this can contribute to the disappearance of all symptoms of the VSD and lead to recovery.

Many negative emotions in the form of anger, resentment, annoyance and anxiety are the cause of the development of a persistent neurosis. People with neurosis react quite sharply to any unfavorable situation. They are not able to switch, break out of the circle of troubles, and the protracted course of such experiences with neurosis leads to a negative current of the VSD.

As a rule, hypertensive type of AVH develops as a result of stress associated with strengthening the sympathetic part of the nervous system. Neuroses, resulting from the intensification of the activity of the parasympathetic part of the nervous system, contribute to the development of an anti-hypertensive type of hypotension.

The causes that affect the occurrence of the IRR include alcohol and smoking. Nicotine and alcohol are such poisons that affect two important human systems: the nervous system and the SS.First of all, nicotine affects the blood vessels, aiming at the vegetative nervous system. It has long been established that nicotine disrupts the blood supply to the walls of blood vessels and leads to their permeability. Due to changes in blood vessels, smokers appear uncoordinated, incorrect vessel reactions. Smoking can trigger the development of neurosis, as it reduces the endurance of the nervous system.

Alcohol is a neurotropic poison. It completely upsets the function of the nervous system, disrupts the processes of metabolism in the body and the work of the heart, vessels and refers to the main risk factor, which increases the likelihood of IRR formation.

IRR symptoms of

The most common types of disease include cardiac and system-neurological. But basically all these disorders manifest themselves in a mixed type.

Symptomatology consists of skin blanching and tachycardia, which is accompanied by a rise in blood pressure and a decrease in intestinal peristalsis, as well as the appearance of weakness in the limbs and chills, a sense of anxiety and fear, which are manifestations of vegetoneurosis.

In addition to sympathic-tonic manifestations, there are vagotonic symptoms in the form of a decrease in heart rate, discomfort during breathing, face hyperemia, sweating, low blood pressure, heat, weakness, heaviness in the head, nausea and dizziness, etc. With VSD, there are various somatic symptoms thatFeign complicated diseases, such as heart attack and psoriasis. Therefore, many diseases can be simulated by attacks of vegetoneurosis.

Among the most common psychoneurotic symptoms of VSD are behavioral disorders and motivational disorders. In this case, patients are characterized by a violation of emotional balance and sleep, the appearance of tearfulness with feelings of fear or anxiety, which reach self-flagellation and the inability to make a decision.

In addition to general symptoms, respiratory syndrome may occur, in which chest compressions and air shortages occur. At the same time, there are headaches and tinnitus, dizziness, as well as a pre-fainting condition and fainting. In this case, patients develop hypochondria, they lose interest in life and deepen into themselves, become very irritable and conflictless without special reasons.

As a rule, almost all patients complain of depression, absence of meaning of life and former activity, show anxiety with characteristic fear. Many are frightened by the loss of sexual relations and former interests. People who have not been able to make a decision for a long time are engaged in self-flagellation. But the more optimistic patients with VSD do not even suspect about the underlying depression in them. This symptom does not allow patients to fully exist in society. Neurotics are in a state when they are trying to maintain a balance of well-being so as not to lead a number of people around. At the same time, they constantly feel asthenia, do not tolerate various physical and mental loads, they develop dependence on the weather, claustrophobia, so they can not concentrate on their duties and deeds.

Hidden depression is stopped only by psychotropic drugs. All manifestations of this symptom of VSD appear and disappear spontaneously with improvement later in the evening. There are several types of latent depression: classical in the form of typical depressive melancholy;Grumbling;Anesthetic form;Apathetic and agitated form.

VSD signs

This disease has a second name - neurocirculatory dystonia, which is characterized by disorders of neuroendocrine regulation of the function of S.C.S.Such changes that appear as a result of violations of the vegetative system may lead to the development of autonomic dystonia. Very often this is manifested by the frustration of SS SS.And the occurrence of vascular dystonia.

The first signs of VSD are noted from the first days of birth, which are manifested in poor weather transfer, redness or pallor during excitement, the appearance of a strong sweat. At children VSD is shown by an incontience of urine at night. And in adults, especially in women, changes from the nervous vegetative system proceed in the form of vegetative crises. Dystonia of vessels can develop as a result of nervous overstrain, as well as after various infectious diseases of both acute and chronic nature, insufficient amounts of vitamins, poisoning and nervous system breakdown in the body.

Signs VSD can represent both constant seizures and paroxysms of the vegetative-vascular system. For the constant signs of the VSD, the inherent instability of the nervous system is characteristic. In this case, patients do not tolerate different types of weather;At them the integuments quickly become pale, red owing to various physical loads or experiences of emotional character;They experience palpitation and sweat very much.

Symptoms of paroxysms include pain in the head or in the heart, palpitations, redness, or pallor of the face. Then the arterial pressure rises, the heartbeats become much stronger, the body temperature rises and chills appear. Sometimes patients with VSD experience a feeling of fear for absolutely certain reasons. In some cases, patients develop weakness in the whole body, they feel dizzy and dark in the eyes, they begin to sweat, they feel sick, blood pressure decreases and the pulse becomes less frequent. Such seizures can last from several minutes to three hours, which sometimes disappear without appropriate treatment.

With exacerbation of the VSD, the hands and feet become cold and wet to the touch with a purplish-cyanotic shade. In the fingers there is a feeling of numbness and creepy crawling, as well as tingling and even in some cases pain. In such patients, sensitivity to cold increases, fingers become puffy, especially after prolonged hypothermia of feet and hands. Attacks increase due to fatigue and anxiety, and then there is the presence of malaise and general weakness.

One of the symptoms of the VSD is a syncope. In this case suddenly there is darkness in the eyes, the face becomes pale and weakness in the whole body comes. After this, there is a loss of consciousness and the person falls. As a rule, convulsions are not observed.

Depending on the defeat of SS.S.Distinguish three main characteristics of the IRR.These include cardiac dystonia, hypotensive dystonia and hypertensive dystonia.

Signs of the first lesion are palpitations, lack of air, tachycardia, respiratory arrhythmia and extrasystole over the area of ​​the ventricles. ECG does not show any changes or only the tooth T changes.

Signs of hypotensive dystonia are characterized by fatigue, muscle weakness, headache due to hunger, chilliness in the legs and hands, and a tendency to fainting. The patients are very pale, their hands are cold and wet, and the systolic pressure drops below 100 mm Hg.

For signs of hypertensive dystonia, there is an increased blood pressure without changes in the fundus, which is characteristic of hypertensive disease. In some cases, patients complain of pain in the head, palpitations and increased fatigue.

VSD types

Among the most common pathologies in the modern world is VSD.It has several names, such as vegetoneurosis, a syndrome of vegetative or neurocirculatory dystonia. Almost 90% of the disease falls on the younger generation and on people in active age, and women are sick much more often than the male population, almost three times. About 25% of people diagnosed with VSD are therapist patients.

VSD is considered not an identified disease, but a combination of many symptoms that cause deviations in the work of certain systems and organs. Progression of disorders of the nervous vegetative system is considered the cause of many serious diseases.

The manifestations of AVR in most cases depend on the disorders that occur in different body systems. They are divided into several groups: cardiac or cardiac, respiratory or respiratory, disdynamic, thermoregulatory, dyspeptic, sexual, and neuropsychiatric.

Cardiac pains occur in the heart, and the heart beat rate increases, and cardiac muscle irregularities with cardiac fading occur.

During respiratory changes, tachypnea is noted with the inability of deep inspiration and exhalation, heaviness in the chest area, attacks of dyspnea resembling bronchial asthma due to fear or excitement.

With disdynamic VSD the pressure fluctuates, the movement of blood through the tissues is disturbed. Disorders of thermoregulatory character are characterized by an increase in temperature to 38 ° C or a decrease to 35 degrees. Such variability can be permanent, long-term or short-term.

Dyspeptic changes are associated with abdominal pain, gastric disorders such as nausea and vomiting, eructations, constipation, or diarrhea.

Anorgasmia is characteristic of sexual pathologies, and urinary system symptoms are marked by frequent urination with pain symptoms.

Psychoneurological disorders are characterized by the appearance of general weakness and fatigue, sluggish condition, with reduced efficiency, pains of different etiologies, dizziness, increased sensitivity to weather change, disturbed sleep, anxiety, etc.

In addition, VSD is classified into three types, Such as cardiac, hypertensive and hypotensive types.

For the cardiac type of VSD, heart pains are sometimes characteristic, which are very sharp, burning and stitching, which are mostly very poorly docked, and there is also a palpitations with cardiac disruptions, which are heavily carried over subjectively. Cardiac type of this syndrome sometimes manifests itself in the form of tachycardia attacks, which are accompanied by shortness of breath and changes on the electrocardiogram. During stabbing pains, as well as unpleasant sensations in the heart, they take Valerian, Validol, Valocordin and Corvalol. When tachyarrhythmias are recommended to use Barvoval, drugs Kalia, Corvaldin, Pumpan, Stress-gran, Krallonin, Ignacy, Cardio-gran and Neurohel. All of them have spasmolytic, vasodilating and sedative effects. With an increase in blood pressure and tachycardia, a positive effect can be achieved using adrenoblockers and reserpine.

For hypotensive type VSD are characterized by increased fatigue, drowsiness and lethargy, weakness, a feeling of chilliness in the hands and feet, the appearance of darkening in the eyes with a sharp rise, fainting at arterial pressure below 100/60 mm Hg. Art.

VSD hypertensive type is caused by the appearance of frequent headaches, periodic increases in blood pressure to 140/90 mm Hg. Art. And dizziness. If this type of VSD is not controlled, then it can develop into hypertensive disease. As a rule, in this case it is recommended to take sedatives or herbs, which include hawthorn, St. John's wort, Valerian, and the Baikal skullcap. Also in the form of tea, infusions or tinctures use rosemary, astragalus, melissa, sweet clover, peony, sage, etc. With the help of sedatives, the processes of inhibition and excitation of the central nervous system are regulated. With hypertension inside the skull with VSD, minor dehydration therapy with prolonged use of diuretics helps.

For antihypertensive and hypertensive types of VSD do not recommend immediately prescribe antihypertensive synthetic drugs or hypertensive. In the beginning, it is better to use herbal remedies. Medicines, such as adaptogens, have an anti-stress effect on the cellular level. For example, eleutherococcus is used for asthenic conditions, which are accompanied by hypochondria and hypochondria. But rhodiola rosea improves the body's resistance to stressful situations and illnesses, especially when hypotonic type VSD.

With neuroses and depressions, which accompany the VSD, prescribe antidepressants. They help to relieve asthenia and improve the emotional state of patients.

VSD for the hypertonic type

In the diagnosis of the hypertensive type of VSD are based on such symptoms as dizziness, palpitation, periodic increases in blood pressure without diagnosing hypertension based on medical examinations and analyzes.

For the hypertensive type of VSD, it is almost always typical to increase the systolic pressure within 140 mm Hg. Art. As a rule, it comes back to normal as quickly as it rises. But the hypertensive type of VSD is very dangerous by the transition to hypertensive disease.

This type can be diagnosed after examination, in which other pathological changes are not detected, except for elevated blood pressure, and also if various tranquilizers help to stabilize the pressure. In addition, if the blood pressure is normalized completely independently without medication, after a dream or a relaxing rest.

However, there are some aspects that link VSD hypertonic type with hypertensive disease, so it indicates that these diseases are very closely intertwined.

To begin with, we can assume that the hypertensive type of the AVR is the starting point in the onset of hypertension. Since the disturbance of regulation increases the muscular tone of the arteries, and this is one of the main causes of the development of hypertension. In addition, VSD hypertonic type is characterized by several symptoms, which are very similar to the symptoms of hypertension. This can be manifested by periodic increases in blood pressure, headaches, tingling in the heart and excessive fatigue. In general, spasmodic pressure fluctuations occur against a background of slight excitement, lack of sleep with the development in the future of severe fatigue. Also, for no apparent reason, only the upper pressure can increase, and the lower one will remain normal.

Very often hypertensive type of VSD develops after a hypotonic type, so they sometimes put people in a deadlock situation. Thus, it is necessary to undergo a medical examination in order to identify either an AVI or hypertensive disease.

The main symptoms of the hypertensive type of AVR include: a depressed state of the patient with a sense of anxiety and tension, lack of air, memory impairment, nervousness, insomnia or drowsiness, appetite is broken or completely absent, headaches in the form of migraines,, Attacks of frequent palpitation, tremor of extremities with increased sweating.

Auscultation reveals noises of a peculiar nature and arrhythmia, an electrocardiogram determines the lack of potassium. Very often VSD on this type is diagnosed in adolescents. Growing young people, who are predisposed to VSD, usually have a high growth and they are marked by early puberty. In this case, not the least role is played by the hereditary factor.

VSD for the hypotonic type

The constant state of fatigue, the appearance of general weakness and complete reluctance to engage in ordinary simple matters, the depressed state of mind is all symptomatology of the VSD according to the hypotonic type, the syndrome of the XXI century, which excludes the pathology of somatic organs.

This disease is a rather unpleasant diagnosis, which is accompanied by severe pain in the head, dizziness, general weakness and complete reluctance to move. In addition, such painful sensations appear simultaneously with psychological deviations. When ubiquitous with humility, the hypotonic type of HPV allows the disease to prevail over the patient.

The symptomatology of this type of VSD is very similar to the symptoms of other diseases, therefore, there is no such disease separately, but is considered as a VSD syndrome. Thus, the situation becomes a little more complicated, since a person with an HPA according to the hypotonic type is practically healthy. Many people with this diagnosis suffer excessive sweating in the area of ​​the feet, face and armpits, differ in a bluish shade of fingers and palms as a result of poor circulation of blood through the vessels. Also, in such patients, the hands are always moist and cold to the touch. Practically all patients are always very pale, thin, apathetic, listless and adynamic.

In general, the symptoms of HPA of the hypotonic type are similar to the symptoms of respiratory diseases. This is manifested in a lack of air, deep and frequent breaths, as well as exhalations, dyspnea, difficulties in inspiration. There is also a similarity with signs of diseases of the digestive system in the form of frequent and regular nausea or vomiting, defecation disorders, abdominal tenderness and frequent heartburn. With the same symptoms of diseases of the genitourinary system - this is manifested in frequent urges of urination or its delay, pain during urination, burning in the genital area, a decrease in libido.

The most complex are the symptoms of a psychological and emotional nature. The clinical picture in the form of anxiety, fear, low working capacity, high fatigue, drowsiness, irritability, sleep disturbances, lack of appetite, speaks of the hypotonic type of VSD, as a disease that must be urgently treated to live on. Namely, the apathetic state does not allow it to be done, i.e. Ask for help from a specialist. Therefore, in order to break this circle, use medicamentous treatment, exercise therapy, breathing exercises and folk remedies.

VSD for mixed type

At observed jumps of arterial pressure it is necessary to be surveyed, that is to pass or take place a full course of diagnostic researches. Because it can be and not hypertensive disease, and not hypotension, and also not the presence of any pathologies of somatic organs. This all can talk about the VSD mixed type.

Typically, this type of syndrome manifests itself by lowering blood pressure in the morning, and in the evening it will rise above normal. In addition, the pressure can vary several times a day from low to high and vice versa.

The International Classification of Diseases does not mention MHC of a mixed type, as well as other types of disease. But this does not mean that it does not exist. Simply for today VSD on mixed type poorly studied and characterized by a mass of nuances and a variety of symptoms. VSD of this type is a rather complex variety, which is very difficult to diagnose. As a rule, patients turn to a doctor with complaints of unstable blood pressure, a feeling of pain in the heart, slow heartbeat, headache, dizziness, the appearance of black dots in front of the eyes, nervous and psychologically unbalanced condition.

Also for VSD of a mixed type, symptoms are characterized in the form of vegetative crises. They can be manifested by chills, shivering in the body or nausea, shaky gait, worsening of hearing, vision or speaking.

As a rule, if it is not possible to find the cause of the patient's malaise, a diagnosis of the VSD by a mixed type is established. But the treatment is not advisable to begin without the appointment of a qualified specialist. Mainly for this, methods of psychotherapeutic nature, physiotherapy, acupuncture, exercise therapy and phytotherapy are used. But the main method of treatment is the prescription of medications.

VSD in children

This is a symptomatic complex of various disorders on the part of some systems, which are caused by a disturbance in the regulation of their function in the autonomic nervous system.

AVD in children is manifested by such syndromes as cardiac, respiratory, neurotic, as well as vegetative crises and syndrome of thermoregulatory disorders. Various diagnoses of the nervous system, cardiovascular and endocrine with the use of rheovasography, EchoEG, ECG, EchoCG, EEG, REG, etc. are used to diagnose the disease. Physiotherapy, medical and psychological therapy are used in children's therapy.

VSD in children is a secondary syndrome that affects visceral and somatic systems and develops as a result of abnormalities in the vegetative regulation of the body. Practically 25-80% of children have different signs of VSD.Much more often this disease develops at the age of six to eight years, as well as during the adolescent period and mainly in female representatives.

In pediatrics, the VSD is not regarded as a separate disease, but is studied by narrow disciplines, such as children's endocrinology, cardiology, neurology, gastroenterology, etc. Vegetative changes in children can contribute to the development of gastric ulcer, hypertension, bronchial asthma, etc. In addition, All these diseases can worsen shifts in the autonomic nervous system.

Basically, the causes of the formation of children's eczema in children is a hereditary predisposition, which is due to abnormalities in various parts of the autonomic nervous system along the mother's line. Also VSD in children is promoted by such complications in the period of childbirth and gestation, as toxemia during pregnancy, various infections during this period, fetal hypoxia, trauma during labor, encephalopathy, protracted or impetuous labor, etc.

An important role in the formation of the disease belongs to differentConflict situations in school and home, hyperope, increased stress in school, the psychological neglect of a small patient, stresses acute or chronic. Infectious, somatic and endocrine diseases, allergoses, constitutional anomalies, anemia, caries, tonsillitis, sinusitis, pharyngitis and neuroinfections with craniocerebral injuries can be attributed to predisposing factors of the VSD in children.

Children directly affected by the nervous system are adversely affected by unfavorable weather conditions, environmental conditions, excessive mental and physical stress, inadequate nutrition, inactivity, disruption to the daily routine, insufficiency of sleep, and hormonal changes during puberty. In general, IRR in children is strongly manifested during a period of rapid growth, with functional loads on the body with a lability of the nervous system.

As a rule, disorders of the autonomic nervous system manifest themselves in the form of various sympathetic and parasympathetic reactions, which are caused by disturbances in the production of noradrenaline, acetylcholine, polypeptides, prostaglandins and vascular sensitivity.

When diagnosing IRR in children, various criteria are considered that are considered important, in contrast to the forms of the disease.

Etiology VSD can carry psychogenic, infectious-toxic, dyshormonal, essential and mixed character of manifestation.

Depending on the disorders of the autonomic nervous system, VSD in children is sympathicotonic, vagotonic and mixed. Given the prevalence of the disease, it can act as a generalized, systemic or local form. In addition, VSD in children is mild, severe and moderate forms, and can also be latent, permanent and paroxysmal.

The clinical symptomatology of the VSD in a child consists of the predominance of sympathicotonia or vagotonia. Cardiac syndrome is characterized by the development of paroxysmal pain in the heart, arrhythmia in the form of an extrasystole of irregular character, bradycardia or tachycardia, increase or decrease of pressure. With prevailing cardiovascular disorders in the structure of the VSD, they speak of the neurocirculatory form of dystonia.

The most dangerous syndrome is the neurotic manifestation of VSD.At the same time, children quickly become tired, they have sleep disorders, they do not remember well, complain of dizziness and pain in the head area. Children with VSD are always out of mood, are somewhat alarmed, suspicious, emotionally labile. They sometimes have hysterics and depression.

Respiratory syndrome is characterized by shortness of breath at rest and with low voltage, there is a shortage of air. Infringements of thermoregulation at VSD at children is expressed by a subfebrile condition, a cold fit, chilliness, bad weather tolerance.

On the part of the digestive system, nausea appears, the appetite rises or falls, there are uncaused pains in the abdominal area and spastic constipation.

Symptoms characteristic of the urinary system are swelling under the eyes and rapid urination. Typically, these children with VSD have a marble coloring of the skin, sweating heavily, they have a dehydrated skin and red dermographism is noted.

Vegetative crises occur in three types, such as sympathoadrenal, vagoinsular and mixed. Although they are much less common, unlike adults.

For children, crises with vagotonic tendencies are characteristic, which is accompanied by heart sinking, lack of air, bradycardia and sweating, asthenia and hypotension.

Children with VSD necessarily need the advice of many specialists, such as pediatrician, pediatric neurologist, cardiologist, endocrinologist, otolaryngologist, gastroenterologist and ophthalmologist. At the same time they exclude another pathology for the diagnosis of VSD.

In the choice of methods of treatment, preference is given not to medical therapy, but also to normalization of sleep, exercise, day regimen and consultation of a child psychologist. Also, in the children's environment, positive dynamics can be achieved by applying massage courses, physiotherapy, exercise therapy. In addition, we recommend swimming, taking a curative shower and common baths with turpentine, radon, pine needles and carbon dioxide.

If necessary, use sedative, nootropic drugs, multivitamin complexes, and according to indications - tranquilizers and antidepressants.

Prevention of children's VSD is to prevent the impact of risk factors on the children's body, to create general health-improving measures and to harmonize the development of children. Such patients with a diagnosis of VSD are on dispensary observation and receive systematic specific treatment.

Pain associated with

As a rule, VSD is accompanied by various pains. Basically it is pain in the head and in the heart. In the first case, they are both temporary and permanent, and can also manifest as tension, cluster pain and migraine.

Pain in the head, which is characterized by its monotony, is a pain of tension. In this case, the patients have a feeling that the head is squeezed by the helmet and at the same time it begins to whine. In addition, the pain covers the entire head with equal force. These seizures appear after the suffered shocks, experiences, work, for which concentration of attention, as well as tension, is necessary. To get rid of the tension pain, you need to rest a little or massage the collar zone.

Migraine with VSD is a paroxysmal with severe pulsation of pain and, as a rule, located on one side of the head. Pain can be localized in the eyes, temples and forehead. The condition worsens if nausea, vomiting, trembling, coldness of the hands, photophobia and intolerance of sounds, especially loud ones, are added. The cause of migraine can be stress, physical activity, being in a noisy place. Painful sensations pass after a cool shower and a good rest.

Cluster pain develops at night and causes insomnia, which causes suffering to patients. It is mainly localized on the head or face, but only on one side. Such an attack is very difficult to tolerate in the first ten minutes. At this moment, the eyes water, eyes fall, the face turns red and begins to become covered with sweat.

Heart pains with VSD can be manifested by unpleasant sensations, as well as being completely unbearable and causing painful suffering in the form of depriving a person of rest and restful sleep, thus causing a feeling of fear of death. The pains in the heart are different, such as burning, cutting, aching, pinching, stitching, pressing. At the same time, there is a sensation of something foreign in the region of the chest. The pain is localized to the left in the subclavian area or behind the sternum and can be irradiated to the left arm, teeth and neck. The pain can last as a few seconds, and several hours. And still manifest as a slow build-up or a sudden attack.

Basically, heart pain in the VSD is the result of overwork, physical strain, agitation, changes in weather conditions, premenstrual period, alcohol intake, weight in the left arm and forced breathing. Sometimes pain can appear after an unpleasant dream.

For heart pain with VSD, one feature is typical. As a rule, it appears after physical stress, and not during their execution. And it arises against a background of anxious feelings, anxiety, lethargy, apathy and weakness.

There are several types of heart pain with VSD.For the first type, the pain of a constant aching or pinching character is characteristic due to a depressed state or anguish. They are carried quite easily and do not affect the performance of a person. These pains occur for no apparent reason and slowly increase. Cured by drugs Menthol and Valerian.

The second type of pain is characterized by intensity and duration in the form of burning in the heart. These pains are long and intense, in which Valocordin and Validol do not help. But the mustard on the heart area and painkillers bring relief.

In the third type of pain, their prolonged course is noted, with a sudden appearance and spread throughout the thorax. Very often there is a heart palpitations, there is not enough air, a person begins to sweat violently, urination becomes more frequent and there is sometimes a feeling of fear of death.

With the fourth type of pain, their paroxysmal manifestation, caused by emotions, is noted. Their main difference lies in their short duration and docking with Nitroglycerin.

For the fifth type of heart pain characterized by their appearance as a result of physical exertion. Such pains occur during a period of exacerbation of the disease.

VSD treatment

Treatment of AVI implies the elimination of stressful effects, the maximum creation of a favorable mood for recovery processes and the conduct of opaque manipulations associated with painful symptoms of the VSD.

First of all, they establish normal family and household relations, eliminate stressful situations at work, at school, at work, etc. Thus, the patient's neuropsychic state is normalized. Then we recommend walking in the fresh air, a healthy healthy sleep, a diet that is characterized by the restriction of harmful foods, and you must abandon bad habits, coffee and strong tea.

The main and leading place in the treatment of VSD is given to psychotherapy, which can take place both in individual form and in group. With a mild form of VSD one can confine oneself to the methods of the medicine of the Motherwort and Valeriana.

Simultaneously, patients are prescribed reflexotherapy, massage, physiotherapy, estetotherapy, electrosleep, physiotherapy exercises.

To improve the body's resistance to stress, it is recommended to take Ginseng, Eleutarococcus, Schisandra, and also to temper, perform exercises of respiratory gymnastics.

To consolidate the results of therapy VSD, spa treatment with the use of such therapy as climatotherapy, sea bathing, mud, mineral water is shown.