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[Mental changes in hypertensive patients during long-term ambulatory treatment]
Insights
Prolonged hypotensive treatment significantly improved well-being and reduced blood pressure in patients with hypertension. Certain medications like hemiton and reserpine were most effective, though mental status monitoring is crucial.
Area of Science:
- Cardiology
- Psychiatry
- Pharmacology
Background:
- Essential hypertension and borderline arterial hypertension affect a significant patient population.
- Management of hypertension requires effective pharmacological and non-pharmacological interventions.
- Mental health comorbidities are common in hypertensive patients.
Purpose of the Study:
- To evaluate the efficacy of prolonged hypotensive treatment in patients with essential hypertension and borderline arterial hypertension.
- To assess the impact of treatment on general well-being, blood pressure, and mental status.
- To compare the effectiveness of different hypotensive drugs.
Main Methods:
- A study involving 149 subjects with borderline arterial hypertension and essential hypertension (stages I-III).
- Prolonged treatment (up to 1 year) with active hypotensive agents.
- Assessment of general well-being, blood pressure, and mental status.
- Comparative analysis of hemiton, reserpine, and obsidan efficacy.
Main Results:
- Significant improvement in general well-being and blood pressure reduction observed.
- A notable tendency towards balancing mentality disorders.
- Hemiton and reserpine demonstrated the highest efficacy, followed closely by obsidan.
- Transitory worsening of mental status occurred in some patients, necessitating psychotherapeutic correction.
Conclusions:
- Prolonged hypotensive treatment is beneficial for patients with essential and borderline arterial hypertension.
- Pharmacological interventions can positively impact both physical and mental health aspects.
- Careful monitoring and psychotherapeutic support are essential during long-term treatment.
- Medical rehabilitation for borderline arterial hypertension requires a well-founded, individualized approach.
Abstract:
A total of 149 subjects with borderline arterial hypertension and patients with essential hypertension, stages I-III, were studied. Prolonged (up to 1 year) active hypotensive treatment produced considerable improvement of general wellbeing, blood pressure reduction and an obvious tendency to balancing mentality disorders. Hemiton and reserpine were the most effective drugs in this respect, and obsidan was only slightly less effective. During prolonged treatment, subjects with borderline arterial hypertension can show transitory worsening of their mental status which requires psychotherapeutic correction. Medical rehabilitation for subjects with borderline arterial hypertension should be well-founded.