Combined effect of trans-cerebral impulse electrotherapy and sodium chloride bath on heart rate variability in hypertensive patients

It has been shown that the target blood pressure was achieved in 70 % of cases in patients with arterial hypertension (AH) who received only basic pharmacological antihypertensive treatment. The hypotensive effect was achieved in 83.3 % of cases in patients who received sessions of trans-cerebral impulse electrotherapy in addition to the basic antihypertensive therapy. Blood pressure decreased in 76.6 % of cases in patients who received sodium chloride baths in addition to the basic therapy sessions. The hypotensive effect was achieved in 93.3 % of cases in patients with the combined use of trans-cerebral impulse electrotherapy and sodium chloride baths and the significant decrease in both systolic and diastolic blood pressure was revealed in comparison with the patients underwent only the antihypertensive medication. The results of the study showed higher efficacy of combined use of trans-cerebral impulse electrotherapy and sodium chloride baths inclusion in the treatment scheme of patients with hypertension, which was connected with the influence of these treatments on the vegetative nervous system state, the growth of its parasympathetic activity. The results testify to expediency of these treatments inclusion into the complex therapy of patients with AH.

1. Abramovich S. G., Kholmogorov.N.A. Non-pharmacological treatment and prevention of cardiovascular disease: modern technology, quality and effectiveness of spa treatments. Irkutsk, 2008. 144–223. (In Russian)
2. Baevsky R.M., Kukushkin Y.A., Marasanov A.V., Romanov E.A. Methods of assessing the functional state of the human body. Meditsina truda i promyshlennaya ekologiya. 1995. (3). 30–34. (In Russian)
3. Blinova V.V., Skvortsov Yu.I., Martynova E.Yu. Optimization of follow-up of patients with arterial hypertension and metabolic disorders. Saratovskiy nauchno-meditsinskiy zhurnal. 2010. 6. (2). 325–328. (In Russian)
4. Bogolyubov V.M., Ponomarenko G.N. General physiotherapy. Moscow: Meditsina, 1999. 61–66, 345–349. (In Russian)
5. Illarionov V.E., Simonenko V.B. Modern methods of physiotherapy. Moscow: Meditsina, 2007. 11–25. (In Russian)
6. Malliani A. Physiological interpretation of spectral components of heart rate variability. Vestnik aritmologii. 1998. (9). 47–56. (In Russian)
7. Mikhailov V.M. Heart rate variability the experience of the practical application of the method. Ivanovo, 2002. 136–151. (In Russian)
8. Multanovsky B.L., Leszczynski L.A., Kuzelin Y.L. Influence of hypertension on the frequency of heart rate variability according to the daily monitoring of the electrocardiogram. Vestnik aritmologii. 2005. (4). 39–44. (In Russian)
9. Ponomarenko G.N. The principles of evidence-based medicine in physiotherapy. Voprosy kurortologii, fizioterapii i lechebnoy fixicheskoy kul'tury. 2008. (2). 46–52 (In Russian)
10. Ponomarenko G.N. Physical therapy in hypertensive patients. Fizioterapevt. 2008. (6). 33–42. (In Russian)
11. Russian recommendations (fourth revision). Section hypertension GFCF. Diagnosis and treatment of hypertension. Мoscow, 2010. (In Russian)
12. Ryabykina G.V., Sobolev A.V. Heart rate variability. Мoscow: Overley, 2001. 36–48. (In Russian)
13. Ulaschik V.S. On new ways of therapeutic physical factors. Fizioterapevt. 2010. (3). 12–22. (In Russian)
14. Ulaschik V.S. General principles of treatment and preventive use of physical factors. Voprosy kurortologii, fizioterapii i lechebnoy fixicheskoy kul'tury. 1992. (5). 9–10. (In Russian)
15. Ulashchik V.S., Lukomsky I.V. Total physiotherapy. Minsk: Knizhnyy Dom, 2008. 34–49. (In Russian)
16. Haspekova N.B. Diagnostic information of monitoring heart rate variability. Vestnik aritmologii. 2003. (32). 15–27. (In Russian)
17. Derad J., Otterbein A., Molle M. et al. The angiotensin converting enzyme inhibitors fosinopril and enalapdl differ in their central nervous effects in humans // J. Hypertens. 2006. 5. (11). 1309–1315.
18. Noda A., Yasuma F., Okada T., Yokota M. Circadian rhythm of autonomic activity in patients with obstructive sleep apnea syndrome // Clin. Cardiol. 1998. 21. (4). 271–276.

Markova E.N. - physiotherapist
Nikolaev Yu.A. - doctor of medical sciences, deputy director on clinical and scientific work, head of laboratory for somatic diseases pathogenesis, chief researcher
Mitrofanov I.M. - doctor of medical sciences, leading researcher of laboratory for somatic diseases pathogenesis