DIFFERENTIATED APPROACH TO THE CORRECTION OF AUTONOMIC DISORDERS IN LONG COVID-19
An assessment and correction of disorders of autonomic regulation was carried out in 56 patients aged 21 to 45 years who sought medical help for long covid in the period from 3 to 6 months after suffering an actual coronavirus infection (COVID-19) of mild to moderate severity. Most often, patients complained of fatigue 87.5 %, loss of strength 75.0 %, sleep disturbances 57.1 %, headache 66.1 %, muscle pain 30.4 %, disorders of the gastrointestinal tract 14.2 %. With a lower frequency of complaints of tachycardia 16.0 % orthostatic intolerance 26.7 %, sweating disorders 7.1 %, increased blood pressure 10.7 %. According to the results of assessing the autonomic status by the method of assessing heart rate variability with spectral analysis, disorders of autonomic regulation were mainly characterized by a picture of a significant decrease in modulating effects in all ranges of the spectrum with the formation of relative sympathicotonia and hypersympathetic reactive syndrome. Postural tachycardia syndrome was identified in 9 patients (16.1 %). In both cases, the correction of violations was carried out using an integrated approach that combined drug therapy (metabolic drugs, nootropics, central alphablockers). The course of treatment was 2 weeks, according to the results of which a persistent decrease in the severity of complaints and an improvement in the indices of the spectrum power according to the assessment of heart rate variability with spectral analysis were achieved. Thus, the effectiveness of a differentiated approach to the selection of complex therapy in patients with vegetative disorders after a previous current coronavirus infection (COVID-19) is shown. (1 table, bibliography: 7 refs).