| Abstract: | Three hundred and fourteen patients with myocardial infarction were studied by using psychodiagnostic tools and measuring blood levels of neuromediators and neurohormones. It was ascertained that the hemodynamic status determined not only various clinical syndromes, but also contributed to the development of psychoemotional and vegetative and humoral abnormalities. Situation-induced anxiety and moderate activation of the sympathetic-adrenal+ system were observed in uncomplicated myocardial infarction; astheno-hypochondriac disorders and prevalent parasympathetic regulation were seen in cardiogenic shock; pulmonary edema displayed depressive and phobic reactions and activation of the both autonomic nervous system portions with predominant adrenocortical function; congestive decompensation exhibited anxiety and depressive disorders and sympathetic activation at the normal and mediatory levels. This leads to the conclusion that it is necessary to perform multimodality therapy with regard to the status of psychovegetative control. |
