Is it true that the diagnosis of vegetovascular dystonia exists only in the post -Soviet space?

Some Media And Experts They say that vegetovascular dystonia (VSD) does not exist in nature, and doctors are “scattered” with such a diagnosis in order, firstly, not to strain with a long examination, and secondly, to earn more money for almost healthy people. The main argument in such reasoning is usually the fact that the diagnosis of VSD is not in the international classification of diseases. We decided to figure out whether such a disease does not exist anywhere except post -Soviet countries.

Under VSD usually It is understood A wide range of symptoms affecting the nervous, cardiovascular, respiratory, genitourinary, gastrointestinal systems. The most common complaint of such patients is a frequent headache, as well as general autonomic symptoms: slightly elevated or low temperature, asthenia, sensation, cold and sweating of the limbs, anxiety and irritability.

The name contains three medical roots at once. Vegeto describes the fact that the symptoms affect the autonomic nervous system, which is responsible for the activity of internal organs, the glands of internal and external secretion, blood and lymph vessels, maintaining the constancy of the internal environment of the body and adaptive reactions. “Vascular” - that is, associated with arteries, veins and capillaries. Distonia is a violation of tone. That is, VSD is due to a decrease in tone of various disorders of the autonomic and vascular system. Term Offered Academician of medical sciences of the USSR N. N. Savitsky in the late 1950s. By statistics VSD is one of the most “most popular” diagnoses among therapists, cardiologists, neurologists and psychotherapists: it is put up to 50% of patients who applied for medical help. Moreover, the number of erroneously exhibited diagnoses Reaches 72%. Such a prevalence of the diagnosis in the post -Soviet space Ulyana Suprun, Doctor of Medicine and the former and. O. Minister of Health of Ukraine, Explains So: "This is a large Soviet myth that was born in the absence of access to the basis of sources of evidence -based medicine."

IN MKB-10 The diagnosis of vegetovascular dystonia is really not mentioned, but there is a similar in sound - somatoform autonomic dysfunction of the nervous system (encoded as F45.3 in the section “Mental Disorders and Disorders of Behavior”). It is put on the basis or “complaints based on objective signs of vegetative irritation, such as heartbeat, sweating, redness, tremor and expression of fear and anxiety regarding possible health disorders”, or “subjective complaints of a non-specific or changeable nature, such as fleet pains throughout the body, a feeling of fatigue or bloating, which the patient correlates with some body or system of organs. " That is, it sounds as similar as possible to the VSD, however, the international disorder is treated with a psychiatrist, and the Russian one at therapists and neurologists at best. In the worst patients, alternative medicine methods are offered: Board cervical vertebrae and acupuncture.

The list of possible symptoms for VSD is so great that almost any disease can be adjusted under it. Unfortunately, unscrupulous doctors can use this “diagnosis-zone” to get rid of the patient by writing to him harmless nootropes and light sedatives. Moreover, under the VSD can Much more dangerous diseases are disguised: thyroid disorders, anemia, chronic inflammatory processes of different body systems, mental disorders and even autoimmune diseases. Therefore, having received such a diagnosis, it is worth undergoing a close examination to exclude more dangerous pathologies.

Thus, as a diagnosis of VSD exists, indeed, only in the post -Soviet space. At the same time, patients with similar symptoms are all over the world, but the protocols of their treatment are significantly different from domestic techniques.

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Read on the topic:

1. Evsegneev R.A. Why is the diagnosis of “panic disorder” better than the diagnosis of “vegeto-vascular dystonia”?
2. Gimranov R.F. VSD does not exist