Saratov JOURNAL of Medical and Scientific Research

Kodochigova A.I.

Saratov State Medical University, Department of Inner Diseases Propaedeutics, Professor, Doctor of Medical Science

Peculiarities of psychoemotional status and myocardium's response to heliogeomagnetic disturbances under emotional load in volunteers residing in the middle latitudes

Year: 2019, volume 15 Issue: №3 Pages: 806-812
Heading: Cardiology Article type: Original article
Authors: Parshina S.S., Kodochigova A.l., Samsonov S.N., Afanasyeva T.N., Petrova V.D., Petrova P.G., Strekalovskaya A.A., Manykina V.I., Kasimov O.V., Tokayeva L.K., Komzin K.V., Ramazanova Z.G.
Organization: Clinical Hospital "RZD-Medicine", Saratov, North-Eastern Federal University n. a. M.K. Ammosov, Saratov State Medical University, Yu. G. Shafer Institute of Cosmophysical Research and Aeronomy of the Siberian Branch of the Russian Academy of Sciences
Summary:

The purpose of the study is to evaluate psychoemotional features of volunteers residing in the middle latitudes and the impact of emotional stress on the synchronization status of the myocardium and heliogeomagnetic disturbances. Material and Methods. In the course of 60 days volunteers (31 people) were daily assessed concerning the state of the myocardium according to the coefficient of symmetry of the T-wave (CST) in the phase portrait of ECG at rest, after emotional stress, and after rest. Geomagnetic activity was assessed with the help of global planetary index of geomagnetic activity (Kp- index), while psychoemotional state of volunteers — with the help of questionnaires and projective techniques. Results. Personality characteristics of volunteers residing in the middle latitudes include optimism and friendliness, combined with a reduction of adaptability when building stress coping behavior against the background of polar intrapsychic tendencies. Emotional stress causes transient change in the synchronization state of the myocardium and heliogeomagnetic disturbances (CST-Kp). 3 types of violations of CST-Kp synchronization were identified. We were the first to describe the phenomenon of CST-Kp synchronization inversion: the increase of myocardium tension after geomagnetic disturbance reduction. Conclusion. Emotional stress in volunteers residing in the middle latitudes against the background of their characteristic of reduced psycho-emotional adaptation, leads to blockage of myocardium's reaction to weak geomagnetic disturbances and may contribute to the emergence of sensitivity to powerful geomagnetic disturbances.

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Assessment of system's adaptive reserves by indicators of heart rate variability in young men at the initial stages of university education

Year: 2019, volume 15 Issue: №3 Pages: 796-800
Heading: Cardiology Article type: Original article
Authors: Olenko E.S., Fomina Е.М., Kirichuk V.F., Kodochigova A.l., Yupatov V.D., Konovalova A.A.
Organization: Saratov State Medical University
Summary:

The purpose of the study is to assess the activity index of regulatory systems and mechanisms of neurohumoral regulation of heart activity in healthy young men at the initial stage of university education. Material and Methods. We studied the activity index of regulatory systems (PARS) and features of the mechanisms of neurohumoral regulation of cardiac activity on a sample of 150 young men [19.0 (18.0; 19.0) years old], based on the analysis of heart rate variability. Results. 40.0% (n=60) of young men had a satisfactory state of adaptive reserves of the body, 23.3% (n=35) were in a state of low functional stress, 24.7% (n=37) had poor adaptation, and 12.0% (n=18) failed to adapt. Conclusion. In male students with satisfactory, tense, and unsatisfactory adaptation, as disadaptation increases, the total effect of all levels of regulation on the heart rate increases with an increase in the effect on the cardiac activity of the parasym-pathetic division of the ANS and a decrease in the activity of cerebral subcortical structures responsible for adaptation, against the background of an increase in psychoemotional stress. In healthy male students, the disruption of systems' adaptive reserves is often accompanied by the total decrease in all levels of regulation with a predominance of sympathetic influences on the heart rhythm and is less frequently associated with a sharp increase in all levels of regulation and the predominance of parasympathetic division of the ANS for the CVS.

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Health of future and present time doctors from the standpoint of psychosomatic medicine: patterns and paradoxes

Year: 2019, volume 15 Issue: №3 Pages: 749-753
Heading: Cardiology Article type: Original article
Authors: Kodochigova A.l., Olenko E.S., Parshina S.S., Yuranova Yu.V., Puzakov K.K., Zhuk A.A., Subbotina V.G., Pavlishcheva I.D.
Organization: Saratov City Clinical Hospital No. 9, Saratov State Medical University
Summary:

The purpose of the study is to conduct comparative analysis of personal psychological characteristics of medical university students and doctors of a therapeutic profile to determine possible risks of developing psychosomatic diseases with subsequent recommendations for conducting personalized psychological correction of the revealed changes. Material and Methods. To achieve this goal 44 medical students (group I) and 36 doctors working in hospitals of the city (group II) were examined using the self-assessment С Spielberger — Y Khanin' anxiety scale, E. Heim's method of stress-coping behavior, and S. Dellinger's psychogeometric test. Results. It was revealed that the members of both groups had high levels of personal anxiety and were adaptive in the emotional coping sphere. Representatives of group I were distinguished by the presence of predominantly non-adaptive reactions in the cognitive sphere, however, they were constructive in designing stress-overcoming behavior proper, in contrast to representatives of group II. Medical university students were characterized by inconsistency of intrapersonal traits. Conclusion. Thus, it is advisable to recommend psychological correction of the revealed changes, i. e. to reduce high level of anxiety in both students and doctors; to increase adaptability among students in the cognitive sphere and among doctors in the behavioral sphere; to resolve intrapsychic conflicts in students to improve psychosomatic pathology prevention.

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Distinctive features of psychological status for patients with various forms of coronary heart disease

Year: 2019, volume 15 Issue: №3 Pages: 744-749
Heading: Cardiology Article type: Original article
Authors: Kodochigova A.l., Kirichuk V.F., Sinkeev M.S., Bogdanova T.M., Olenko E.S., Filonenko E.V., Slyusarenko Yu.A., Dolgov A.A., Ilyin A.A.
Organization: Saratov State Medical University
Summary:

The purpose of the study is: to conduct comparative analysis of personal response characteristics in patients with stable and unstable forms of coronary heart disease, depending on the presence or absence of acute coronary disaster in their history. Materials and Methods. 94 men and women with an established diagnosis of coronary heart disease (CHD), aged 38 to 55 years were examined. All individuals under study were divided into 4 groups: two groups with stable forms of angina pectoris, and two groups with unstable angina pectoris, depending on the presence or absence of myocardial infarction history. The following tools were used to determine personal response characteristics in CHD patients: abbreviated multifactor personality questionnaire; Toronto alexithymic scale and psycho- geometric test. Re-sults. It was found that patients with coronary artery disease had a high level of neurotization, alexithymicity, conformity, pessimism, and low self-esteem, along with sociability, friendliness and desire to avoid conflict situations. Neurotic tendencies, alexithymicity and decreased activity were most pronounced in patients with history of acute coronary catastrophe (p<0.05). Conclusion. The results of the study determine advisability of including the methods of psychological correction of revealed changes in the complex of measures for secondary prevention of cardiovascular events in patients with various forms of coronary heart disease based on a personalized approach.

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Individually-typological heterogeneity of prehypertension in young men

Year: 2016, volume 12 Issue: №3 Pages: 344-348
Heading: Cardiology Article type: Original article
Authors: Olenko E.S., Kodochigova A.l., Kirichuk V.F., Barylnik Yu.B., Trayber L.V.
Organization: Saratov State Medical University, «Psychiatric Hospital №13», Klin, Moscow Region
Summary:

Objective: to study the individually-typological features of the person of young men with prehypertension. Material and Methods. With the help of complex tests: Reduced Multiple Personality Questionnaire for research (MMPI), the Heck — Hess, Spielberger — Hanin, Index lifestyle were examined 95 healthy young men with different levels of blood pressure: optimal, normal and high normal. Results. It has been shown that people with normal and high normal blood pressure have different individually-typological features of the person and, based on this criterion can not be combined into a single group prehypertension. Men with normal blood pressure values on the studied parameters were similar to individuals with optimal blood pressure value. Persons with high normal level of blood pressure had a psychosomatic predisposition personality profile MMPI, with its fixation on physical sensations, with the increase of anxiety, neuroticism and the overall intensity of psychological protection. Conclusion. It is advisable to carry out a personalized approach to the psychological correction of identified changes in primary prevention of arterial hypertension in young men.

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Psychophysiological features of male and female young patients with minor heart anomalies depending on degree of their intensity

Year: 2012, volume 8 Issue: №2 Pages: 209-213
Heading: Physiology and Pathophysiology Article type: Original article
Authors: Kurako М.М., Kirichuk V.F., Kodochigova A.I., Papshitskaya N.Y., Olenko E.S., Sulkovskaya L.S.
Organization: Saratov State Medical University
Summary:

Research Objective: To compare the features of personal response in young patients with minor heart anomalies according to gender and severity of abnormalities. Materials and Methods: Physiological characteristics of 124 male and female (mean age — 22,16±2,42 years) have been examined by means of Toronto Alexithymic scale, reduced multifactorial questionnaire for the study of personality and psychogeometric test. Results: It has been found that both women and men with moderate degree of minor heart anomalies manifest polar intrapsychic tendencies, higher levels of alexithymia than in those with a lesser degree of dysplasia of the connective tissue of the heart. Conclusion: Patients with moderate degree of minor heart anomalies have experienced the conflicting intrapsychic tendencies and higher levels of alexithymia than patients with minor heart anomalies of a minimal degree, regardless of the gender. Male patients with varying degrees of severity are more likely to suffer from alexithymia than females

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Renal dysfunction and state of metabolic and hemodynamic factors in patients with arterial hypertension

Year: 2011, volume 7 Issue: №4 Pages: 837-842
Heading: Internal Diseases Article type: Original article
Authors: Kurkina T.V., Bogoslovskaya S.I., Svistunov А.А., Kodochigova A.L, Glybochko G.Kh., Klochkov V.A.
Organization: Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia, First Moscow State Medical University n.a. I.M. Sechenov
Summary:

The aim of the investigation is to carry out comparative evaluation of metabolic and hemodynamic indices in patients with arterial hypertension (AH) and renal dysfunction; to study the interrelation between arterial blood pressure level normalization and the presence or lack of microalbuminuria (MAU) in the morning urine portion of patients with AH after therapy with antihypertensive preparations (APs) of various groups. Methods. 121 persons have been investigated, 91 out — patients of both sexes, aged 33-55, with the diagnosis of arterial hypertension of stage II risk III, who have been taking Perindopril, Telmisartan and Bisoprolol for3 months. The control of arterial pressure level, biochemical analysis of metabolic indices and morning urine portion test for microalbuminuria has been carried out. Results. MAU has been revealed in 17,6% patients, occurring more frequently in men than in women. Microalbuminuria is accompanied by reliable decrease of total and ionized calcium and magnesium concentrations, an increase of potassium level in blood plasma, increase of cholesterol, triglycerides, glucose and levels. Patients with AH and renal dysfunction reliably demonstrate higher levels of systolic and diastolic arterial pressure in the morning and evening hours, their normalization effect after APs intake is significantly interconnected with MAU presence. Conclusion. In patients with AH and MAU the main risk factors of cardio-vascular diseases development are more expressed. Microalbuminuria is a risk factor in patients with arterial hypertension and may influence on the basic blood electrolyte balance. While carrying out antihypertensive therapy the presence of MAU should be taken into consideration

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Topicality of ischemic heart disease prophylaxis in specialists of medical-social expertise

Year: 2011, volume 7 Issue: №2 Pages: 387-389
Heading: Physiology and Pathophysiology Article type: Author's opinion
Authors: Krovyakova Е.А., Kirichuk V.F., Kodochigova A.I.
Organization: Saratov State Medical University
Summary:

Realization of professional duties for specialist of medical-social expertise is accompanied with high intellectual and emotional obligations. Daily extreme and psychogenic situations lead to psychological and occupational maladjustment of physicians, development of anxiety and depression among them, which can be exacerbated by the presence of alexithymia. Negative psycho-emotional factors increase the risk of coronary heart disease. In order to prevent this pathology development in specialists of medical-social expertise, identification of changes in their psycho-emotional sphere and personified correction of revealed disorders are necessary

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Comparative analysis of psychophysiological characteristics of clinically healthy persons with an average teeth resistance to caries harmonious and anxious personality types

Year: 2011, volume 7 Issue: №2 Pages: 385-387
Heading: Physiology and Pathophysiology Article type: Short message
Authors: Khalturina V.G., Kirichuck V.F., Kodochigova A.I., El-bubu М.М. M. A., Kucherov M.G.
Organization: Saratov State Medical University, Penza Regional Children's Clinical Hospital n.a. N.F.Filatov
Summary:

When analyzing the results of psychophysiological study of healthy individuals aged 18 to 30 years with an average teeth resistance to caries of harmonious and anxious personality types, it was revealed that the number of representatives of anxious type were more than of harmonic type; and high neuroticism, anxiety and conflicting intrapersonal tendencies which are the risk factors for dental caries origin and progression, were observed in their personal radical. In this regard, the plan of preventive arrangements for carious process progression in clinically healthy persons of anxious psycho-type seems to be the rational measure

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Psychophysiological types of clinically healthy individuals with different levels of teeth resistance to caries

Year: 2010, volume 6 Issue: №2 Pages: 271-273
Heading: Physiology and Pathophysiology Article type: Original article
Authors: V.G. Khalturina, V.F. Kirichuck, A.I. Kodochigova, E.S Olenko, O.V. Medvedeva, M.G. Kucherov, M.M.M. El-bubu, I.D. Pavlishcheva
Organization: Saratov State Medical University, Saratov City Hospital №9, Penza Regional Children's Clinical Hospital n.a. N.F.Filatov
Summary:

The work is a result of the psychophysiological tests with the help of cutting examination and psychogeometrical tests for 76 healthy individuals ages 20,18±1,25 years, having different caries resistance. It is known that group of people with poor caries resistance has a conflict type of personality. There is a positive tendency to growth of anxiety level and reducing caries resistance. The article concludes that the prophylaxis of caries and its complications must contain methods of psychophysiological correction

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