Indicators of heart rate variability in comprehensive diagnosis and medical evaluation of mild traumatic brain injury
Автор: Poverennova I.E., Zakharov A.V., Melnikov K.N., Kurov M.V.
Журнал: Ульяновский медико-биологический журнал @medbio-ulsu
Рубрика: Клиническая медицина
Статья в выпуске: 4, 2017 года.
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Traumatic brain injury is an urgent medical and social problem. Mild traumatic brain injury, which includes concussion and mild brain contusion, is the most common type of closed craniocerebral injury. Diagnosing a mild traumatic brain injury is often a difficult task, as unlike severe traumatic brain injury it is based primarily on a subjective assessment of symptoms and signs without any objective data. The aim of the study is to improve the diagnosis of mild traumatic brain injury while studying the heart rate variability to objectify autonomic disorders as the main manifestations of the disease. Materials and Methods. The authors examined 134 patients, aged 18-60, with mild traumatic brain injury. All the patients underwent autonomic nervous system assessment at various periods of traumatic disease. Clinical tests and cardiointervalography were used for these purposes. Results. The data obtained prove that acute mild traumatic brain injury leads to atactic activity of the autonomic nervous system. This indicates the decrease in adaptive reserves of the organism, and also significantly affects the quality of patient’s life. Cardiointervalography helps to identify and objectify autonomic disorders in mild traumatic brain injury, to evaluate their dynamics taking into consideration the ongoing therapy. All these measures contribute to diagnosis and evaluation of this type of injury.
Mild traumatic brain injury, autonomic dysfunction, cardiointervalography
Короткий адрес: https://sciup.org/14113315
IDR: 14113315 | DOI: 10.23648/UMBJ.2017.28.8736