The influence of autonomic dysfunction on the level of cardiovascular risk in the metabolic syndrome and the organizational aspects of medical care
The frequency of metabolic syndrome in the group was 40.3%. The frequency of combinations of metabolic syndrome and VND was 21.7% and significantly exceeded the expected with an independent distribution of these pathological conditions. A significant excess of the frequency of development of acute violations of the regional circulation in the group of the presence of a combination of metabolic syndrome and autonomic dysfunction was observed over those surveyed with the absence of these pathological conditions. Significant differences were revealed by the results of the observation of the combination group of MS and VND in comparison with all the others: VND without MS (χ<sup>2</sup> = 4.92, p = 0.046); MS without VND (χ<sup>2</sup>=4.26, p = 0.057); absence of MS and VD (χ<sup>2</sup> = 8.35, p = 0.022). Between groups of patients without a combination of syndromes, no significant differences were revealed. Autonomic dysfunction can be a factor associated with metabolic syndrome and modifying the risk of cardiovascular complications in the direction of its increase. This aspect requires taking into account the role of VD in the implementation of organizational measures aimed at preventing complications in patients with metabolic syndrome.