Methods for assessing the vegetative status in a patient with hypertension: from theory to practice

Announcement:

We present to your attention a report authored by Elizaveta Yuryevna Ebzeeva . Her presentation is devoted to the role of the autonomic nervous system in the pathogenesis of arterial hypertension and the cardiovascular continuum.

From this video lecture you will learn:

• Why is autonomic nervous system (ANS) dysfunction not just a symptom, but a key mechanism for the progression of hypertension and complications?
• How does hypersympathicotonia trigger vicious circles: from increased heart rate and blood pressure to worsening prognosis and increased mortality?
• Why is heart rate (HR) now identified as a separate risk factor in current clinical guidelines for hypertension?
• What simple and accessible methods of assessing vegetative status can be used during an appointment with a therapist and cardiologist?

In his presentation, the expert examines the Wayne questionnaire (a tool for identifying autonomic dysfunction), heart rate assessment, blood pressure variability, asthenia symptom complex, as well as the “asthenia quartet”: fatigue, decreased performance, sleep disturbance, irritability

Of particular importance: studies show that in patients with a heart rate <65 bpm, mortality increases by 2 times – emphasizing the importance of monitoring autonomic tone.

The report explains in detail how autonomic dysfunction:

— Worsens the course of hypertension and comorbid diseases;

- Increases the risk of cardiovascular complications;

— Requires early detection and a comprehensive approach.

Key takeaway: Early diagnosis is the key to prevention! Detection of autonomic dysfunctions allows for timely adjustment of therapy, improved blood pressure control, and reduction of overall vascular risk.

Use simple tools: questionnaires, heart rate measurement, clinical assessment - and change the approach to managing patients with hypertension.

The video lecture is mandatory viewing for therapists, cardiologists, neurologists and general practitioners.