[Functional cardiovascular disease; neurocirculatory asthenia].
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AIM: To study changes in immune system of patients with various forms of chronic bronchitis (CB) and neurocirculatory asthenia (NCA). MATERIAL AND METHODS: Neurological and immunological examinations were made in 84 patients with CB exacerbation and 51 control subjects. RESULTS: It was found that 60% of CB patients had NCA. No negative effects of NCA on immune system in CB patients were registered. Suppression of immune system and secondary immunodeficiency occurred more frequently in CB patients without signs of NCA. 40% of CB patients had vagotonic NCA in which immunological disorders manifested most clearly. CONCLUSION: Vegetative disorders in CB patients do not affect immunological system. Functional testing of autonomic nervous system is suggested for prediction of immune system condition.
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In order to analyze the nature of the cardiovascular complaints in neurocirculatory asthenia (NCA) and related diseases, 83 cases were studied on the basis of the results of psychological tests (Cornell Medical Index and Yatabe-Guilford test) and cardiovascular and respiratory parameters. Almost all of the patients with normal psychological test results had abnormalities in one or more of the following: blood pressure, pulse rate, cardiac index, TII in the standing position, and cardiothoracic ratio. The data suggest that the cardiovascular complaints of the normal psychological test group can be attributed to somatic factors, especially to a small size of the heart. On the other hand, the group with psychological abnormalities had hearts of normal sizes, a less marked lowering of TII in the standing position, but markedly abnormal respiratory patterns. This indicates that the respiratory abnormalities seen in this group are likely to be the symptoms of cardiac psychoneurosis.
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