Issue: 2022, Vol. 27, No. 3

V. V. Makerova, Е. N. Diakonova, V. М. Mikhaltsov, N. V. Vorobiova

NON-DRUG CORRECTION OF CEREBRAL HEMODYNAMICS AND MICROCIRCULATION IN PATIENTS WITH IDIOPATHIC HYPOTENSION IN COMBINATION WITH VENOUS DYSGEMIA

Keywords

idiopathic arterial hypotension, venous dysgemia, microcirculatory disorders, laser Doppler fluometry, respiratory gymnastics

Abstarct

Оbjective – to estimate the influence of respiratory remedial gymnastics and vocal exercises on cerebral blood flow and microhemocirculation in patients with idiopathic arterial hypotension (IAH) in combination with venous dysgemia (VD). Material and methods. The research was performed at Ivanovo regional clinical hospital. 30 patients with IAH in combination with VD were enrolled in the study. Cerebral hemodynamics and functional state of microcirculation system were evaluated by laser doppler fluometry (LDF) before and after 10 day course of respiratory remedial gymnastics and vocal exercises. Results and discussion. Trustworthy decrease of blood flow linear velocity (BFLV) in middle cerebral and vertebral veins and in Rosenthal veins also were marked after the course of respiratory remedial gymnastics and vocal exercises. Positive dynamics of microcirculation state was noted in parallel: increase in the index of flaxomotion (from 0,47 ± 0,2 to 0,96 ± 0,3 conventional units), increasing the amplitude of low-frequency oscillations (АLF) from 14,02 ± 1,93 to 17,02 ± 1,19 % (р 0,05), reducing the level of pulse fluctuations (АСF) from 31,37 ± 4,1 to 21,58 ± 2,9 % (р < 0,05) and high-frequency respiratory fluctuations (АHF) from 19,62 ± 3,2 to 8,84 ± 1,76 % (p < 0,05), and it testified to the reducing the contribution of passive blood flow modulations. Conclusion. Conducting special respiratory gymnastics in combination with vocal exercises allowed to restore cerebral hemodynamics and microhemocirculation more effectively in patients with IAH in conjunction with VD.

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