Assessment of limbic system in cardiac patients during comprehensive rehabilitation

Abstract

The article presents a review of domestic and foreign literature, containing basic information on the possibilities of assessing changes in the status of limbic system in cardiac patients in the process of comprehensive rehabilitation. The issues of a possible relationship between the limbic system structures and the cardiovascular system are considered. The key pathogenic mechanisms of mutual influence of the autonomic nervous system, limbic and cardiovascular systems at each other are described. The main aspects of the limbic system involvement in the regulation of mental and emotional state of a person are considered. The possibility of using different methods of study of changes in the limbic system status in cardiac patients in clinical practice was consistently assessed. Two main groups of methods: conventional test systems, as well as additional instrumental methods of examination of cardiac patients are investigated. The capacity of each of the methods, their advantages and limitations of use in clinical practice were compared. Particular attention is paid to the issue of assessment of anxiety and depression level. Cardiovascular tests are briefly described. Noteworthy fact is that currently there is no consensus on diagnostic tools to assess the changes in the status of the limbic system. The review describes a possible comprehensive diagnostic program. It is emphasized that it will be possible to optimize the comprehensive rehabilitation program of cardiac patients based on the obtained study results of the changes in the limbic system status.