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Correction of initial cerebral disorders in arterial hypertension

[Neurology]
Olga Andreeva; Mikhail Puzin; Elena Kiparisova; Boris Afanasyev; Igor Pryanikov; Sakinat Makkayeva; Irina Gurieva; Sergei Karpov;

A comprehensive examination of 114 patients with stage I and II hypertension was carried out. The aim of the study was to develop a modern, pathogenetically substantiated, comprehensive non-medicamentous method of curative correction of early cerebral manifestations of hypertension. The main correction of the initial manifestations
of hypertension was a special technique of curative gymnastics and respiratory gymnastics with elements of group psychotherapy. Group 1 (n=80) – patients who received complex non-drug treatment; Group 2 (n=34) – patients who received drug-induced antihypertensive therapy on the basis of monotherapy or low-dose combination therapy. Patients
of the 1 st group reported a significant (p<0.01) improvement after the end of treatment. Intergroup differences obtained before and after treatment, in patients of the 1 st and 2 nd groups it had a significant (p<0.01) nature. The study of cerebral hemodynamics significantly (p<0.01) indicated an increase in the majority of patients of the 1st
group of blood flow along the vertebral arteries, the posterior cerebral arteries. In the state of vasomotor reactivity and autoregulation of cerebral blood flow, there was significant (p<0.01) positive dynamics only in patients of the 1st group. Thus, the analysis of the results of our algorithm for treating patients with initial manifestations of hypertension,
conducted with the use of non-drug methods, demonstrates the validity of the proposed pathogenetic approach to ongoing therapy.

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Keywords: arterial hypertension, therapy, combined therapy, nonmedical methods


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