What is a VSD diagnosis and who makes it

The attitude to VVD as a disease is currently revised, and VVD decoding is vegetovascular dystonia. Pathology is regarded as a syndrome, in other words, a whole symptom complex of dysfunctions with persistence of manifestations in concomitant pathologies. The diagnosis, with the name "vegetovascular dystonia" is often made as concomitant with other diseases.

Who diagnoses vegetovascular dystonia? It is treated by different specialists on an individual basis.

What is a VSD diagnosis? The underlying causes in patients with this syndrome have not been fully established. It is generally accepted that this is due to microcirculatory dysfunction of the cerebral vessels. Presumably, the cardiovascular system cannot cope with stress factors, resulting in a failure in the part of the nervous system that functions vegetatively. The result of this is a different pathology that affects the body.

lead to pathology:

• dysfunction of the hormonal status;
• diseases of an infectious nature;
• physical fatigue;
• harmful chemical, physical factors;
• excessive alcohol consumption, smoking;
• immobility;
• burdened heredity.

What does vegetovascular dystonia mean? The presence of a VVD diagnosis means that the coordinated interaction between the departments of the sympathetic and parasympathetic systems is impaired. When the sympathetic NS dominates, it follows the hypertonic type. If the parasympathetic NS becomes predominant, then the dystonia syndrome will be hypotonic. Sometimes there is a change in the role of the dominance of these departments among themselves, in which case the dystonia proceeds in a mixed manner. That's what it means to have a diagnosis of VSD.

Why do we need a vegetative system

Vegetative NS controls and regulates all organs inside the human body, maintaining its homeostatic state. The system is autonomous, which means it does not obey consciousness, will. Without this system, it is impossible for the body to regulate all human life processes.

The sympathetic division of this system is carried out:

• pupillary dilatation;
• increased metabolism;
• increase in blood pressure type;
• decreased smooth muscle tone;
• increase in the frequency response of cardiac contractility;
• tachypnea.

The parasympathetic division is characterized by effects opposite to the sympathetic:

• the pupil is constricted;
• blood pressure is reduced;
• smooth muscle tone is increased;
• the frequency parameter of heart contractions is reduced;
• bradypnea;
• secretory activity of digestion is increased.

In a normal state, the activity of these departments of the autonomic system occurs in harmony, their reaction to internal and external factors is adequate. When the balance between them is disturbed, then vegetovascular dystonia occurs.

How is it going

In the mild stage, neurasthenic symptoms are mild. A painful condition that occurs in the heart zone occurs with severe physical and emotional overload with a moderate character. The frequency is different, the restless state happens either 1 time per month, or 1 time for 6 months, or once a year.

With moderate severity of the course, acute periods are long. Cardialgia is pronounced with a long clinical course. During the year, the ability to work noticeably decreases on average up to 2 times, its temporary loss is possible.

The severe stage of the course of the pathology is characterized by duration, the symptoms are persistent, pronounced. The state of cardialgia is constant, the heart rhythm is dysfunctional. The patient is terrified of death due to the cessation of cardiac activity, which leads to mental abnormalities. The crisis course is severe, frequent. Hypotonic syndrome is characterized by a stable decrease in blood pressure with respiratory dysfunction. The hypertensive type is manifested by hypertension, the patient is physically temporarily disabled. But this form will not lead to death. Here is such a diagnosis of vegetative-vascular dystonia.

How does it manifest

A characteristic feature of dystonic syndromes is pain in the chest and heart zone. Pain intensity is fuzzy, similar to an uncomfortable state. Symptoms are observed with physical, emotional exhaustion. The patient complains of instability of the heart rhythm, which is rapid or rare. The pain is aching, stabbing or pulsating in nature, nitroglycerin relief does not eliminate it.

Blood pressure is also unstable. Depending on the type of dystonia, it can rise or fall more than once in a day, sometimes the pressure is kept within the normal range. In this case, the patient is irritated by light and sound effects, he is worried about pain in the head, dizziness.

Diagnosis of VVD ─ what is it in an adult? Often the syndrome occurs along with a dysfunctional reproductive system. Women do not feel an orgasm, men ─ with a weak erection. Libido will either stay the same or go down.

Pulmonary hyperventilation syndrome is characterized by frequent respiratory act, it seems to the patient that he does not have enough oxygen, breathing is incomplete with difficulty inhaling. This leads to the loss of carbon dioxide by the blood, while the respiratory center is depressed due to alkalization of the blood. The result of this is muscle spasm, impaired sensitivity of the mouth, hands, feet, with dizziness.

Sweating is disturbed in the form of hyperhidrosis, often palmar and plantar surfaces.

When the patient urinates, he experiences pain, but no pathology of the kidneys is observed, urine without visible changes.

Thermoregulatory dysfunction consists in persistent slight hyperthermia, chills. This condition is tolerated normally, sometimes observed in the first half of the day, asymmetric hyperthermia in the axillary region is possible. Often seen in children.

Diagnostic Features

Vegetovascular syndrome is characterized by difficult diagnosis. Patients present multiple complaints, but the doctor does not reveal any specific pathology during the examination.

Diagnosis of VVD in adults and children allows the doctor to determine:

• NS functionality;
• functioning of the vascular system;
• root causes of vegetative-vascular disorders.

As soon as the diagnosis of vegetative-vascular dystonia is made, the doctor prescribes an individual course of treatment.

To assess the state of the National Assembly, neurologists use testing, methodological programs to detect autonomic tone, reactive with a functional feature.

The tonic vegetative parameter shows the assessment of the vegetative system in a calm state. Defined by methods with:

• Kérdö index, which determines how the autonomic system affects cardiac activity. To calculate it, you need 100 * (1 - diastolic blood pressure / pulse rate). With a positive indicator, sympathetic activity on cardiac performance is manifested. When the parameter is negative, parasympathetic activity predominates. If the result is zero, then this indicates a normal tone;
• compiled questions to determine the pathology for the diagnosis of existing vegetovascular dystonia. In fact, the patient is required to answer a series of simple questions compiled in tabular form. The answers are evaluated according to the system, where the highest score is 10. Then the scores are added up, summed up to a certain parameter. When certain norms are exceeded in total, this may mean that a person has a manifestation of the diagnosis of VVD, that this should be treated.

With the help of the reactivity of the vegetative system, the reaction to the irritating factors of this system is calculated. To explore such a parameter, you need to run:

• heat and cold test. For this, the patient, who is in the supine position, is measured by the arterial type of pressure and the frequency response of the heart contractility. Then the upper limbs of the patient must be dipped in warm and cold water for a short time period and the above parameters recorded again. Data are compared, appropriate conclusions are made;
• measurement of cardiac, eye reflexes. The patient is in a relaxed position for a quarter of an hour. Then the frequency indicator of cardiac contractility is considered by the doctor. Then the patient is given a slight finger pressure on the area covered by the eyes to a slight soreness. Further, the frequency coefficient of contraction of the heart is again calculated, the data are compared, and their analysis is performed. This is how VSD diagnostics is performed.

Answering the question: VVD - what kind of diagnosis is this, a person must understand the state that is happening to him. When he has a strong redness or pallor, a feeling of dizziness of the head, eye blackout, pronounced after a sharp movement, lifting, paroxysmal pain in the head, high sweating, rapid or slow heart sounds with its interruptions in work, a feeling of difficult breathing, cold extremities , their numbness, high fatigue, decreased work activity, lethargic and broken state ─ then all this indicates vegetovascular dystonia, and a person will need a comprehensive diagnosis of VVD.

For this, a diagnostic electrocardiographic research method with daily recording of the cardiogram is used.

It will not be superfluous to use a rheovasographic method that determines the graphic recording of pulse fluctuations in the vascular filling of various organs and tissues with blood.

Gastroscopic examination allows you to determine the gastric mucosa using a tubal apparatus with optics and lighting.

Thanks to the electroencephalographic examination, the bioelectric impulse activity of the brain is recorded.

Computed tomography type of study allows, thanks to X-ray radiation, to obtain a layered picture of different parts of the body. The method is much more accurate than conventional X-ray due to the low radiation load, the smallest variability of radiation absorption is recorded.

Nuclear magnetic resonance examination will allow you to see the layered structure of the picture of any organ in different projections, to perform a three-dimensional view of the necessary part of the body. This is the most modern method, in which the development of many impulse series of images of the studied structural elements has been carried out, which makes it possible to determine the best contrast between physiological and altered tissues.

How to diagnose differentially

With these diagnostic measures, pathologies similar to vegetodistonic symptoms are excluded:

• Cardiac complaints that are accompanied by cardiac abnormalities, for example, murmur during systole, rheumatic manifestations with specific signs should be excluded. It also takes into account the frequent compatibility with connective tissue dysplasia disorders, the clinic of which in total is similar to rheumatic heart pathology, congenital heart defects, non-rheumatic carditis.
• If a hypertensive state is observed, studies should be performed in order to rule out primary symptomatic hypertension.
• Respiratory dysfunction that occurs in children with vegetovascular dystonia is differentiated from bronchoasthmatic manifestations.
• Feverish conditions are diagnosed with acute infectious pathology, sepsis, infectious endocarditis, and oncology.
• When psycho-vegetative symptoms are strongly expressed, they are differentiated with mental disorders.

What threatens

Vegetovascular dystonia in normal cases will not cause serious complicated conditions, it does not pose a threat to life. But the symptoms that appear interfere with a normal life, cause a feeling of anxiety with fatigue.

Pathology causes chronic pain, drops in blood pressure, dependence on weather conditions, malfunction of the intestinal tract and various organs of the human body that feel oxygen hunger. Due to vegetative dystonic conditions, any chronic pathology is aggravated.

Ischemic, hypertensive, heart attack and stroke diseases will bring neglected untreated vegetovascular dystonia.