International Medical Journal, Vol. 24., Iss. 3, 2018, P. 55−59.
PSYCHOGENIC CARDIALGIA AS A CONSEQUENCE OF EDUCATIONAL STRESS AND ITS TREATMENT
Kharkiv National Medical University, Ukraine
The most common variants of cardiac pain are psychogenic cardialgias, while this phenomenon itself belongs to the group of various affective and autonomic disorders pathogenetically associated with pain in the heart. This determines the relevance of timely and accurate diagnosis of non−cardiogenic psychovegetative cardialgias, the choice of the correct and pathogenetically valid tactics of their treatment. The purpose of this study was to invesyigate the level of anxiety (trait and state), quality of life by questionnaire SF−36, the state of the autonomic nervous system of medical students during the session and the final tests, which were prescribed Corvalment. The study involved 100 undergraduate students from Kharkiv National Medical University, who during the period of emotional strain experienced pain in the heart after a thorough clinical and instrumental examination, considered as psychovegetative cardialgias. Half of them as a treatment and prevention of psychogenic cardialgia were prescribed the drug Corvalment 1 capsule 3 times a day sublingually for 7 days. After the course of the drug administration, the students did not have cardiac complaints, trait anxiety was reduced by Spielberger−Khanin scale, and the quality of life improved by SF−36 questionnaire. The students who did not take Corvalment experienced pain and discomfort in the region of the heart, increased anxiety, mood lability, insomnia. Thus, Corvalment demonstrated high efficacy in treatment of psychogenic cardialgias, contributed to lowering anxiety and improving the quality of life. The drug is safe, since its administration tid for seven days did not produce any side effects in the investigated persons. Corvalment can be recommended as a drug for emergency aid to the patients with psychogenic cardialgias.
Key words: psychogenic cardialgia, educational stress, Corvalment.