Non-drug methods of treatment of patients with arterial hypertension

Kulchitskaya, D B; Kolbakhova, S N

doi:10.38025/2078-1962-2020-97-3-65-68

Bulletin of Restorative Medicine

2020

DOI: 10.38025/2078-1962-2020-97-3-65-68

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Non-drug methods of treatment of patients with arterial hypertension

D B Kulchitskaya

S N Kolbakhova

Abstract: Worldwide, arterial hypertension (AH) is the most common cardiovascular disease. Despite the fact that today, high efficacy and persistent hypotensive effect of transcerebral pulsed electro- and magnetic therapy in patients with AG has been proven, it seems relevant to develop optimal transcerebral effects for this category of patients. The aim of this study was to select optimal transcerebral effects in patients with mild arterial hypertension, depending on hemodynamic types of central hemodynamics and microc… Show more

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Cited by 6 publications

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“…Medical scientists in Russia and abroad pay special attention to etiology, pathophysiology, pathogenesis, diagnosis, treatment and prognosis of AH. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] The prevalence of AH among the adult population is from 30-45% up to 60% and it is more frequent among people over 60 years. 18,19 Throughout the world, AH also significantly affects cardiovascular complications and results in high death rate.…”

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confidence: 99%

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Lebedeva

Achilov²,

Mavlyanova

et al. 2021

Eur J Transl Myol

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Arterial hypertension (AH) is a burning problem in the world. Antihypertensive pharmacological therapy combined by physical exercises is well-studied in patients with mild and moderate AH. However, studies that have investigated relaxation in patients with severe AH in addition to drug therapy are lacking. Optimization of a comprehensive treatment for patients with severe AH, by using a multicomponent rational antihypertensive pharmacotherapy (PT) with subsequent application of relaxation exercise therapy (RET). The study involved 32 male patients with severe AH. Initially, clinical-instrumental and laboratory examination, blood pressure registration and daily arterial blood pressure monitoring were carried out. Suitable PT was selected for all the patients. 3 months after starting PT the patients were divided in 2 groups. The patients of the 1st group were prescribed RET in addition to PT. The 2nd group of patients continued receiving PT alone. 3 months later, average daily blood pressure (ADBP)-syst and ADBP-diast were compared in both groups. Three months after PT both groups demonstrated a significant decrease in ADBP-syst and ADBP diast, but these indicators remained higher than normal and did not reach the target level. Three months after the inclusion of RET in the comprehensive treatment, the 1st group demonstrated a significant decrease in ADBP (systolic and diastolic), not only in comparison with the initial data, but also with the data observed three months after PT. After 6 months, ADBP-syst and ADBP-diast in the 1st group were significantly lower compared with those of patients in the 2nd group. The inclusion of RET in addition to a multicomponent antihypertensive PT is a promising treatment option for severe AH.

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mentioning

confidence: 99%

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Lebedeva

Achilov²,

Mavlyanova

et al. 2021

Eur J Transl Myol

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The effects of a single simultaneous impact of physiotherapeutic factors on stress-realizing and stress-limiting systems of the body

Benkov¹,

Nagornev

Frolkov

et al. 2021

Fizioterapevt (Physiotherapist)

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This study is devoted to assessing the effect of a single simultaneous exposure to a low-frequency electrostatic field and transcranial magnetic therapy on non-specific systemic adaptation mechanisms. Objective: to evaluate the effect of a single combined exposure to a low-frequency electrostatic field and transcranial magnetic therapy on the stress-realizing and stress-limiting systems of the human body. Material and methods of research. The study involved 83 male volunteers aged 25 to 38 years (the average age was 31,4±0,33 years), who did not have any chronic diseases and risk factors for their development (the first health group), who were divided into four groups by simple fixed randomization. The first group (control group, 21 people) received placebo treatment (imitation of physiotherapy treatment with the device turned off). In the second group (main group 1, 20 people), the volunteers were singly exposed to transcranial magnetic therapy with traveling magnetic field (TMT TMF) using the device «Amo-Atos» with the attachment «Headband» (RU from 18.11.2011 №FSR 2011/12325). In the third group (main group 2, 21 people), the volunteers were singly exposed to low-frequency electrostatic field (LFESF) using the multifunctional therapeutic system «Khivamat-200» (RU from 12.04.2017 №RZN 2017/5597). To assess the stress-realizing and stress-limiting systems of the body, an analysis of heart rate variability (HRV) was performed, which allows determining the tone of the sympathetic and parasympathetic parts of the autonomic nervous system (ANS). Blood levels of ACTH, cortisol, glucagon, LPO products (malondialdehyde (MDA) and Schiff base (SB)), as well as insulin and the activity of antioxidant enzymes (SOD and catalase) were measured. The study was carried out three times: in the initial state, after 30 minutes, and a day after the end of the single exposure to the complex of physiofactors. The results obtained allow concluding that the criteria for the optimality of a combined single exposure to physiotherapeutic factors is a stable activation of stress-limiting mechanisms against the background of an initial moderate increase and gradual diminishment of stress-realizing manifestations. The dynamics of the estimated indicators observed a day after the exposure indicates the increasing adaptive capabilities of the body to minimize stress-damaging effects. A single simultaneous application of physiotherapy factors demonstrated the possibility of targeted implementation of the strategy of adaptation and control of the severity of physiological, hormonal and metabolic changes within the framework of a non-specific stress response, which opens up new opportunities for optimizing the treatment process.

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Change in parameters of the microcirculatory tissue system of the peri implant zone in patients with peri implantitis during complex use of mesodiencephalic modulation and ozone therapy

Balaeva,

Nagornev,

Remizova

2024

Physiotherapist

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Abstract. Purpose of the study: The article examines the role of microcirculation disorders in the pathogenesis of peri-implantitis in patients after dental implantation. Materials and methods. It is shown that the development of peri-implantitis is characterized by significant changes in the parameters of microhemodynamics and oxygen exchange in the tissue involved in the inflammatory process. The state of oxygen and energy deficiency prompts the progression of inflammatory changes with the formation of signs of tissue destruction around dental implants. The application of a standard scheme of peri-implantitis therapy is accompanied by a correction of the microcirculatory tissue system indicators. The supplementation of standard treatment with course use of medical physical factors promotes the strengthening of the positive dynamics of microcirculation parameters of the peri-implant zone. The corrective influence of MDM-therapy is connected with the activation of the mechanisms of neuroendocrine regulation of vegetative functions, while the basis of ozone therapy is the polymodality of the factor, including the relaxation of the precapillary blood flow, improvement of the rheological properties of the blood, and the stimulating effect on angiogenesis processes. Results. The complex application of medical physical factors, combining systemotropic and local impacts, different modalities and points of application of their corrective activity, contributes to the manifestation of functional potentiation with a maximal corrective effect.

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Non-drug methods of treatment of patients with arterial hypertension

Cited by 6 publications

References 1 publication

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

The effects of a single simultaneous impact of physiotherapeutic factors on stress-realizing and stress-limiting systems of the body

Change in parameters of the microcirculatory tissue system of the peri implant zone in patients with peri implantitis during complex use of mesodiencephalic modulation and ozone therapy

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