Diagnosis of vegetative-vascular dystonia
Last reviewed: 23.04.2024
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Despite the high prevalence of the disease, it is quite difficult to diagnose vegetative-vascular dystonia because of the absence of specific symptoms and in each specific case it is necessary to exclude diseases with similar symptoms, ie. Differential diagnostics is always necessary. The range of diseases that have to be excluded is very wide: organic pathology of the central nervous system (neuroinfections, tumors, consequences of craniocerebral trauma): various endocrinopathies (thyrotoxicosis, hypothyroidism), symptomatic forms of arterial hypertension and arterial hypotension, coronary heart disease, myocarditis and myocardial dystrophy , vices and other heart diseases. The occurrence of symptoms of vegetative-vascular dystonia during transitional (critical) age periods (pubertal) can not be a weighty argument for justifying the diagnosis of vegetative-vascular dystonia without differential diagnosis, since during these periods, many other diseases often appear or worsen.
If the diagnosis of vegetative-vascular dystonia remains the most probable in the process of elimination of similar disease manifestations, the further diagnostic program includes a possible analysis of the causes of its occurrence, the determination of the type of vegetative-vascular dystonia according to the clinical manifestations (according to the accepted classification), as well as ECG, hemodynamics, vascular tone, aimed at clarifying the pathogenesis of circulatory disorders. It is obligatory to study the vegetative status, including the determination of the initial vegetative tonus, vegetative reactivity, vegetative maintenance of activity.
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