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At least 271 records · Page 15Linked to original sources
PubMed2005

[A 60-year-old woman with asthenia and dyspnoea].

Coronary artery aneurysms are uncommon and the prevalence in patients undergoing coronary artery angiography is 1.5-4.9%. The most common cause of coronary artery aneurysm is arteriosclerosis, followed by Kawasaki disease, periarteritis nodosa, systemic lupus erythematosus, syphilis, rheumatic fever, congenital heart disease and trauma. Most coronary aneurysms remain asymptomatic. Patients may present symptoms of angina or myocardial infarction due to thrombosis within the aneurysm. This would lead to occlusion of the coronary artery or to distal thromboembolisms. There is no consensus on how to manage coronary artery aneurysms. Medical therapies include aspirin as well as warfarin. Surgery may be performed in patients with a large aneurysm, i.e. when the risk of rupture or thrombosis is high. We present a 60-year-old female patient with symptoms of a transient ischaemic attack followed by a period of fever, nausea, vomiting and ecchymoses on the lower extremity. Transthoracic and transoesophageal echocardiography was suggestive of a tumour located at the basis of the lateral wall of the right atrium. Heart surgery revealed, however, a large right coronary aneurysm and an atrial septum defect of the secundum type.

Asthenia↗
PubMed1991

[Transcranial electric stimulation therapy in the treatment of neurocirculatory asthenia].

Transcranial electric stimulation (TES), a combination of direct and pulse current totally up to 5 mA, rectangular impulses lasting 3-4 ms at a frequency of 75-80 Mz, via frontal and retromastoid electrodes was carried out for 30 minutes every other day. The treatment consisted of 7 to 10 sessions. Overall 189 patients suffering from vegetovascular dystonia were examined. Of these, 114 persons (group I) received pharmacotherapy and TES, 61 TES (group II), and 14 were on placebo. 83% of the group I patients and 80.3% of the group II patients manifested an appreciable improvement of the well-being which was supported by the data of its general estimation. 22 patients were examined for blood beta-endorphin. It has been shown that its concentration increased and returned to normal during TES.

Brain Injuries↗
PubMed1991

[Autonomic asthenia syndrome in children with primary and secondary generalized epilepsy (clinico-encephalographic data)].

Clinical and physiological correlations were carried out on the basis of an analysis of clinical studies of vegetative dystonia (VD) and the general initial vegetative tone with determination of the mean percentage of the dominant activity, the dystonia ratio and the index of vegetative deviation devised for the first time and on the basis of studying interrelations between the synchronizing and desynchronizing systems according to the EEG readings. There were 107 children suffering from primary and secondary generalized epilepsy and 30 normal children of the same age. The patients with primary generalized epilepsy demonstrated the predominance of the activating influences of the reticular formation on brain bioelectric activity as compared to patients with secondary generalized epilepsy. This correlates with the data on the general initial vegetative tone and the clinical manifestations of VD. According to these data, the sympathetico-tonic manifestations were predominant in patients with primary generalized epilepsy, whereas the parasympathetic ones in those suffering from secondary generalized epilepsy.

Autonomic Nervous System↗
PubMed1991

[Psycho-autonomic correlations in neurocirculatory asthenia in young age].

As many as 91 patients aged 17-25 years seen at the students' outpatient hospital for autonomic disorders, namely for vegetovascular dystonia (VVD) were examined. The data of somatovegetative and psychiatric examinations were compared. It has been shown that the symptomatic diagnosis of VVD may mask both vegetative lability common to the mentally normal and practically healthy subjects and vegetative dystonia syndrome proper, which is a component of psychovegetative syndromes. The statistically significant diagnostic somatovegetative and electrophysiological signs were distinguished, which make it possible to supposedly distribute groups with psychopathological syndromes and mentally healthy subjects.

Adolescent↗