Efficacy of Dynamic Еlectric Neurostimulation in the Complex Treatment of Patients with Arterial Hypertension

Abstract

Low adherence of patients with arterial hypertension to regular therapy increases the risk of fatal complications. Patients’ motivation for treatment can be increased by non-drug methods of exposure. Aim. To evaluate the effectiveness of the inclusion of dynamic electric neurostimulation in the treatment regimens of patients with arterial hypertension to control blood pressure (BP) levels. Material and methods. 60 patients aged 25-55 years old with verified diagnosis of arterial hypertension (I-II degree) were examined in Novosibirsk City Clinical Hospital № 2. The 1st group (the main group, n=30) received a 15-day course of acupuncture of the neiguan point from the apparatus «Leomax-Cardio Compact» in addition to the standard therapy; the 2nd group (comparison group, n=30) received the standard treatment complex and simulation of acupuncture exposure. Patients were trained to use the «LeomaxCardio compact» device and to perform self-monitoring of arterial pressure (BP) from the UA-767 (AND) device. The checkup included carbohydrate, lipid metabolism, kidney function, electrocardiography assessment, daily BP monitoring. Results and discussion. By the end of observation, the target BP levels in the 1st group patients were 70.0% achieved, we managed to correct the variability of systolic and diastolic BP relative to the initial values by 1.3 and 1.6 times respectively, to decrease the rate of morning rise of systolic BP by 1.3 times, to increase the frequency of the variant of daily BP profile “dippers” by 1.3 times and to decrease the number of “non-dippers” by 1.7 times, which differed from the similar indicators in the 2nd group. Electro-puncture with «LeomaxCardio Compact» may have an antihypertensive effect due its effect on the suprasegmental parts of the autonomic nervous system. Conclusion. Inclusion of electropuncture from the device Leomax-Cardio Compact in the treatment regimens of patients with uncomplicated arterial hypertension allows to correct the neurovegetative regulation, which allows effective control of the target values of systemic hemodynamics