HYPERTENSION AND EXTRASYSTOLE AS A MARKER OF ANXIETY DISORDERS
DOI:
https://doi.org/10.32689/2663-0672-2025-3-4Keywords:
hypertension, arrhythmia, neuro-humoral system, anxietyAbstract
The article is devoted to the study anxiety disorders development in the patients with arterial hypertension and extrasystolia. Hypertension and arrhythmia have the leadership position between reason of adult’s death. Arrhythmia is significantly sign of cardio-vascular complication too Nearby quarter (12.4%) of Ukrainian adult suffer from Anxiety disorders symptoms versus only 3% – have necessary its treatment. Aim. This study aimed to defined interrelation the hypertensive patients general somatic state without and with co-occurring extrasystole versus opportunity of an anxiety disorders. Materials and methods. 150 patients with ІІ degree hypertension according to definition by Ukraine cardiology sociation with different topic’s extrasystolia and without rhythm disorders were included into the study. The first clinical group was 54 patients with supraventricular exstrasystolia. 40 patients were in the second group with ventricular exstrasystolia. 26 patients were in the third group, respectively with combined exstrasystolia (supraventricular and ventricular exstrasystolia), 30 patients were in control group. 24-hours arterial blood pressure and electrocardiogram monitor ware done. All patients got through the questionnaire by the Visual Analog Scale of Assessment Well-being and Covi Anxiety Scale before and after 6-month treatment of a chief disease. Statistical processing of information was performed by methods of variational statistics using the Software MicroSoft Exel 2003 i StatSoft „Statistica” v. 10.0.101. Results. Before treatment anxiety signs were defined in 63% of 1 group patients, 52.5% of II, 19,2% of III, 78,7% of control group. The anxiety disorder was identified in 22,2% of 1 group patients, 40% of II and 80% of III group. After treatment no any anxiety was defined in 86,7% of control group patients, 29% of 1 group, 5% of II group and 73% of III group, according to the results by Covi Anxiety Scale. Conclusions. Hypertension with co-occurring extrasystolia leads to manifestation of subsyndromal and generalized anxiety disorders. Hypertensive patients with combined exstrasystolia have retained them leader position in anxiety disorders development Prospects for further research. Study and identification of common links in the pathogenesis of hypertension and extrasystole in combination with anxiety disorders.
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