Signs and treatment of vegetative-vascular dystonia, disease code according to ICD-10. Coding of neurocirculatory dystonia in the ICD Mixed type of pathology

is a disorder of the autonomic nervous system (ANS). Dysfunction of the body occurs. Patients complain of feeling unwell, but examination does not confirm any pathologies. VSD can lead to the development of chronic central nervous system diseases, weakness, and sometimes even disability.

Vegetative-vascular dystonia is a disorder of the autonomic nervous system (ANS).

The concept of vegetative-vascular dystonia

VSD is a disorder that causes insufficient oxygen supply to internal organs and blood vessels. manifests itself during the development of the body at an early age. Men get it less often. The disease is characterized by malfunctions: headaches, improper functioning of organ systems, a disorder of hormonal synthesis, which leads to metabolic disorders.

The causes of the pathology can be:

• intrauterine fetal hypoxia;
• lag in the development of endocrine glands from the growth of internal organs during adolescence;
• development of chronic diseases and hormonal changes in adulthood.

ICD-10 codes for vegetative-vascular dystonia by type

According to the international standard, vegetative-vascular dystonia has code G90.8 (other disorders of the autonomic nervous system). This classification is given to diseases without clear symptoms and visible causes. They cannot be identified as a separate pathology.

Hypertensive type of disorder

It is observed in 75% of the population and affects all age groups. The ICD-10 VSD code for this type is from I10 (primary hypertension) to I15 (secondary hypertension). The functions of the SS system are disrupted. High blood pressure negatively affects the activity of all blood vessels and can damage any system of internal organs.

VSD hypotonic type

Dysfunctions have codes I95.0, I95.1, I95.8, I95.9 (hypotension, idiopathic, orthostatic, primary, unknown etiology). Symptoms of deviations:

• arrhythmia;
• headache;
• decreased physical activity;
• lack of coordination;
• dizziness and fainting;
• change in skin color.

Cervical dystonia

Extrapyramidal central nervous system disorder was coded G24. The appearance and development of the disease is facilitated by hereditary predisposition, head and neck injuries, infections and brain tumors. It is expressed by involuntary movements (swinging and turning) and incorrect head position. The disease is diagnosed in children after 2 months.

Torsion dystonia

Chronic hyperkinesis with code G24.3 develops as a result of congenital abnormalities or infectious diseases of the nervous system. Accompanied by convulsive muscle contractions and unnatural posture. The progression of dysfunction leads to disability.

Cardiac type of disorder

Diagnostics for cardiac dystonia (code I15.8) records heart rate pathology. Pain and discomfort in the heart are accompanied by increased sweating and readiness to faint. The pathology is caused by psychogenic factors (mental abnormalities, injuries, exhaustion), chronic fatigue, and heavy physical exertion.

Somatoform dysfunction

Violation of the ANS (code F45.3) with signs of organ damage begins to appear in childhood and continues during puberty. Organic changes cannot be detected during examination. Manifestations affect the cardiovascular and genitourinary systems, gastrointestinal tract, and respiratory organs. At the same time they observe:

• problems with urination;
• drops in blood pressure;
• painful digestion;
• heart pain.

Dystonia occurs without pronounced symptoms, changes increase gradually, aggravated against the background of stressful situations and physical strain.

Mixed type of VSD

The neurological disorder code is G24.8. The imbalance causes dysfunction of the respiratory system, gastrointestinal tract, cardiovascular system, and a tendency to hyper- and hypotonic crises. It begins to appear in children after 7 years of age due to intrauterine development disorders, pubertal anomalies, decreased immunity, and chronic infections. Vegetative-vascular dystonia is accompanied by increased anxiety, headaches, and nervousness.

How are VSD codes set for children?

Due to the uncertain etiology and unclear symptoms, it is more difficult to determine than in adults. The root cause of the syndrome is infections and somatic disorders. To make a reliable diagnosis and determine the ICD-10 code for VSD syndrome for a child, you need to undergo a comprehensive examination by specialists. Need to do:

• Ultrasound of the heart and blood vessels;
• Dopplerography;
• encephalogram;
• detailed blood test.

Based on the research, the neurologist makes a final conclusion and sets the VSD code.

Vegetative-vascular dystonia. Some people perceive this diagnosis as a simple illness. Nevertheless, doctors note that the disease is very dangerous.

Can dystonia be cured? What causes it to occur? At what age is the disease most progressive? Knowing the answers to such questions is very important, because you can avoid bad consequences.

VSD (Vegetative-vascular dystonia) leads to disruption of the functioning of the whole organism. Most cases of the disease are observed in children aged 5 to 15 years. The disease is distinguished by a mixed type, hypertensive and hypotonic type.

ICD-10 (International Classification of Diseases) does not yet include VSD diseases in its list. It is included in the list of other complex diseases. Dystonia of the hypotonic and hypertonic type is not included in the ICD 10 code. The disease manifests itself in the destroyed activity of parts of the nervous system. It progresses in different organs throughout the body. Disorders of body functions have their own code according to ICD 10.

Neurocirculatory disease ((the second name of VSD) is code F45.3 and belongs to the type of disorder of the psycho-vegetative functioning of the heart. But you should know that it is the disease Somatoform autonomic dysfunction that is encrypted - F45.3.

VSD does not occur due to damage to the nervous or endocrine systems. There are several other factors that determine the occurrence of VSD. For example:

• Hereditary predisposition to the development of the disease.
• Development of infection in the body.
• Lack of sleep, exhaustion.
• Mental or emotional trauma.
• The action of a chemical or physical factor (hot climate, vibration, insolation).
• Diet, intoxication (also tobacco or alcohol).
• Physical activity, exercise, physical inactivity.
• Hormonal changes in the body.

When water-electrolyte and carbohydrate metabolism, hormonal and mediator systems undergo changes, biological substances are activated. Dystrophy or metabolism occurs, fluctuations in vascular tone, spasms of peripheral vessels and microcirculation slow down. Then vegetative-vascular dystonia becomes a characteristic disease even under stress or other influential factors.

VSD does not immediately manifest itself. But there are still some symptoms that can help determine the presence of the disease. The patient is characterized by rapid fatigue, insomnia, lethargy, and lack of good mood. Disruption of the body and its systems is also characterized by the occurrence of dystonia.

During a nervous system disorder, a person experiences the following symptoms: headache, dizziness, fainting and fever (from 37.5 C). The functioning of the intestines and digestive tract is also disrupted, and this causes pain in the abdominal cavity.

Disease of the cardiovascular system is characterized by pain and murmur in the heart area, unstable blood pressure. Vegetative-vascular disease disrupts the functions of the respiratory system. Even if a person does not physically exert himself, he suffers from shortness of breath.

Vegetative-vascular dystonia can occur without visible symptoms. However, the disease is accompanied by attacks called vegetative crises. Such crises arise through physical, mental or emotional stress. They go away within a few minutes or may last for several hours.

Vegetative-vascular dystonia in children

The disease in children occurs due to emotional stress. Mental stress at school, stressful situations, a feeling of constant anxiety - all this can cause the disease. Hormonal changes in the child’s body also lead to a state of one of the types of VSD.


Especially in childhood, it is necessary to move a lot, develop and play sports. It should be noted that spending a long time at the computer or a sedentary lifestyle contribute to the onset of the disease.

Another factor through which the disease begins is a hereditary predisposition to vascular dystonia. If a child has dystonia, then he or she is characterized by rapid mood swings, decreased activity, sleep disturbances, shortness of breath, vomiting... Neurocirculatory disease impairs vision, speech, gait or hearing.

The disease can be primary or secondary. Primary - develops on its own, and is not affected by the presence of other diseases. Secondary - occurs due to the presence of diabetes mellitus, brain injury or spinal cord injury.

Vascular dystonia has 4 degrees of disease development, which is associated with the classification according to ICD-10: hypertensive, hypotonic, cardiac and mixed. The type of disease depends on the number of symptoms.

Diagnosis of a child is carried out using a number of chemical and instrumental studies. The child’s parents should consult the following doctors: cardiologist, pediatrician, neurologist, psychologist and psychiatrist.

It can be treated with or without medication. You should only take medications for severe dystonia. The main task of medications is to eliminate disorders of the nervous system. Doctors prescribe notropics, tranquilizers, antidepressants and other medications...

Herbal medicine is considered a very common treatment for children. Various herbs (golden root, calamus, ginseng, lemongrass and others) calm the nervous system.

To prevent a child from being seized by a neurocirculatory disease, he should be provided with a normal sociological environment and emotional peace. If he has a quiet life without all of the above factors affecting the nervous system, this will save him from developing a disease from the ICD 10 classification.

Since neurocirculatory disease can have many causes, the examination should be carried out with specialists (neurologist, gynecologist, gastroenterologist, etc.).

After determining the diagnosis, the patient must undergo an ECG, EEG, computed tomography... The disease dystonia is provoked by a vegetative disorder. Therefore, you should immediately undergo treatment.

The most commonly prescribed drugs are sedatives, tonics, ventonics, drugs to increase blood pressure and others. But it should be remembered that vegetative vascular dystonia includes not only taking medications. You need to make a plan for the necessary physical activity, create a calm environment, and try to experience positive emotions as often as possible.

Vegetovascular dystonia (VSD) is a syndrome characterizing autonomic dysfunction. This pathology refers to diseases of the nervous system. Due to the lack of a specific cause and vague symptoms, VSD according to ICD-10 does not have a specific classification and is designated as G90.8. Thus, ICD-10 characterizes vegetative-vascular dystonia as one of the disorders of the nervous system, but not as an independent disease.

Pathology manifests itself as a malfunction of the autonomic nervous system. This disease occurs in approximately every third adult, regardless of place of residence and age. Autonomic dysfunction in children occurs in approximately 30%. As a rule, the first symptoms appear in childhood or adolescence.

The disease is characterized by malfunctions of internal organs. Reasons for the development of VSD:

• emotional and physical stress;
• hormone imbalance;
• stressful situations;
• diseases of the endocrine system;
• bad habits;
• infectious diseases;
• lack of vitamins;
• passive lifestyle.

Often, the first manifestations of vegetative-vascular dystonia appear after suffering diseases of the central nervous system (CNS) or mental disorders. The body develops defense mechanisms against diseases of the nervous system, therefore, at the slightest stress or overwork, these mechanisms are activated and symptoms of dystonia appear. This response of the immune system is developed after neurological and mental disorders, as well as infectious and viral diseases.

The impetus for a disorder of autonomic function can be poor nutrition, lack of regular physical activity, obesity and a sedentary lifestyle.

Autonomic dysfunction develops with hormonal imbalances, during pregnancy and at the onset of menopause. Pathology may appear against the background of diseases of the cervical spine or diabetes mellitus.

The development of the syndrome is also influenced by genetic predisposition. Bad habits, such as smoking and alcohol abuse, also provoke disorders of the autonomic nervous system.

Vegetovascular dystonia is a syndrome that describes autonomic disorders. There are several types of VSD. Dystonia is distinguished:

• hypotonic type;
• hypertensive type;
• cardiac type;
• mixed type.

Each type of disease has characteristic symptoms.

VSD hypotonic type

VSD of the hypotonic type manifests itself at an early age, and predominantly women suffer from the disease. The disorder develops against the background of low blood pressure (100 mmHg and below). Symptoms of the disorder are nonspecific and manifest themselves individually in each patient. The following symptoms are common:

• limb spasms;
• violation of the heart rhythm;
• breathing problems;
• headache;
• fainting;
• Digestive problems.

Patients complain of cramps of the lower extremities, especially at night. Hands and feet feel cold even in hot weather. Heart rhythm disturbances may occur, especially after minor physical activity. Breathing problems are expressed by difficulty taking a deep breath. Breathing is usually shallow and rapid. Patients often complain of headaches and dizziness.

Digestive problems are expressed by diarrhea, frequent heartburn, and impaired bowel movements.

Some patients report neuropsychiatric disorders - panic attacks, attacks of fear, sudden irritability or depression. VSD is often accompanied by sleep disturbances, constant fatigue and apathy.

This form of vegetative-vascular dystonia does not have a code according to ICD 10 due to the general nature of the symptoms. This also causes problems with diagnosing the disorder.

Hypertensive type of disorder

As the name implies, it develops against a background of high blood pressure. As a rule, symptoms of pathology appear when the patient’s blood pressure rises.

This form of the disease is characterized by the following symptoms:

• noise in ears;
• headache;
• visual impairment;
• nervous tension;
• tremor of fingers;
• problems with coordination of movements;
• panic attacks;
• nausea;
• impaired memory and concentration.

Tinnitus is accompanied by visual impairment. Patients complain of the appearance of floaters in the field of vision. All this is associated with increased blood pressure. Patients often complain of nervousness, nervous tension, and sudden anxiety. These symptoms may be accompanied by nausea and vomiting.

Some patients have problems with coordination of movements - a rapid, fussy gait. Possible problems with concentration and sudden memory loss.

This form of disorder leads to disability due to problems with attention and memory.

Due to the lack of clear symptoms, no ICD-10 code has been assigned for this type of VSD. ICD-10 classifies vegetative-vascular dystonia as a general neurological disorder.

Cardiac type of disorder

Cardiac vegetative-vascular disorders develop against the background of cardiovascular problems or as a result of metabolic disorders and endocrinological diseases. The disease is characterized by cardiac, tachycardic or bradycardic syndrome, the symptoms of which do not appear simultaneously.

The most common is cardiac syndrome; it occurs in nine cases out of ten among patients with cardiac VSD. In this case, patients complain of nagging pain and discomfort in the heart area.

• Tachycardia syndrome is manifested by an increase in heart rate, as well as a decrease in performance.
• Bradycardia syndrome is characterized by a decrease in heart rate and sudden headaches. Patients often complain of severe sweating and lightheadedness.

According to ICD-10, vegetative-vascular dystonia of this type is not classified; the international classifier classifies this type of disorder as a neurological disorder.

Mixed type of pathology

Mixed vegetative-vascular dystonia is often a hereditary disease. Pathology may appear against the background of problems of the cardiovascular system and as a result of certain neurological disorders.

VSD of mixed type is characterized by the following symptoms:

• headache and dizziness;
• change in heart rate;
• visual impairment;
• aching pain in the heart area;
• panic attacks;
• nervous tension;
• vegetative crises.

This form of pathology is characterized by a sudden change in blood pressure; it can rise sharply or suddenly fall, which causes the symptoms of the disorder.

The mixed type of autonomic disorder is characterized by crises, which are accompanied by impaired motor skills, sudden chills and tremor of the fingers. Patients report sudden visual disturbances (blurring in the eyes), decreased hearing (noise or ringing in the ears), and problems with speech.

The second name for VSD is or NDC. According to ICD-10, neurocirculatory dystonia is classified as a neurological disorder.

Somatoform dysfunction

One form of dystonia is somatoform dysfunction of the autonomic nervous system. Pathology is characterized by disruption of the functioning of internal organs without a physiological or pathological cause for the disorder.

Somatoform dysfunction manifests itself at an early age in children and adolescents. The disorder affects those organs whose activity is regulated by the autonomic nervous system.

The following symptoms are characteristic of somatoform dysfunction:

• aching pain in the heart area;
• arrhythmia;
• shortness of breath, difficulty breathing;
• dysfunction of the gastrointestinal tract;
• problems with urination;
• joint pain;
• neurological and mental disorders.

Pain in the heart area bothers the patient at rest or during physical activity. Patients often complain of arrhythmia. Possible breathing problems - shortness of breath, rapid shallow breathing, inability to take a deep breath.

From the gastrointestinal tract, indigestion, constipation or diarrhea may occur. Often a child experiences sudden stomach upset during a stressful situation.

Urinary problems mainly affect children. This is manifested by enuresis and frequent urge to urinate when in public.

Joint pain is episodic. They suddenly appear, intensify with load, and just as suddenly disappear.

Patients are prone to hypochondria and the development of depression. Many people note sleep disorders, groundless fears and anxieties, and suddenly increasing irritability and nervousness.

Diagnosis of pathology

Diagnosis of VSD is fraught with difficulties due to the lack of specific symptoms. characteristic of many different pathologies of the cardiovascular system, internal organs, as well as some types of mental disorders.

To make a diagnosis, it is important to exclude pathologies of internal organs. For this purpose, examination and consultation with a cardiologist, endocrinologist, neurologist and gastroenterologist are indicated.

The following examinations need to be done:

• general and biochemical blood test;
• checking brain activity and vascular condition;
• MRI of internal organs.

If you suspect VSD, you should consult a therapist. After examining and analyzing the patient’s complaints, the doctor will refer you to the next specialist.

Treatment

Regardless of the type of dystonia, treatment is carried out symptomatically. If a patient experiences sudden changes in blood pressure, he is prescribed medications to normalize these indicators. Medicines are also prescribed to improve blood flow to the brain.

Antidepressants and tranquilizers are used to treat dystonia. Sedatives are often prescribed. This helps relieve nervous tension and normalize patients’ sleep at night, as well as get rid of neurosis and irritability.

Patients are advised to take vitamin and mineral complexes to strengthen the nervous system. Usually medications containing magnesium and B vitamins are prescribed.

Along with drug treatment, it is necessary to adhere to a diet and daily routine.

With the hypotonic type of disorder, frequent meals are indicated, but in small portions. Preference should be given to products containing vitamin C, which normalizes vascular tone. The menu should predominantly consist of fresh fruits and vegetables. For the hypotonic type, natural coffee and green tea are indicated.

If you have a hypertensive type of VSD, you should exclude fatty meats and rich broths from the menu, increase the amount of fluid consumed to two liters per day, and also give up coffee and salt.

Smoking and drinking alcohol aggravate the course of the disease and contribute to the deterioration of well-being, so bad habits should be abandoned.

To get rid of VSD you will need long-term complex treatment. It is important to adhere to the following rules.

1. Daily walks in the fresh air have a positive effect on the nervous system. Walking for at least two hours a day is recommended.
2. Patients are advised to have moderate physical activity. This could be yoga, cycling or swimming.
3. It is important for patients to be able to relax. To do this, it is recommended to master breathing techniques.
4. The working day should be standardized. You should get at least eight hours of sleep a day.

VSD is not a fatal disease, but it can significantly impair the quality of life. This pathology leads to decreased ability to work and neurological disorders, so it needs to be treated. A timely visit to a doctor will help you get rid of unpleasant symptoms in literally 4-5 weeks, so you should not delay treatment.

In fact, vegetative-vascular dystonia is indeed a complex of functional, i.e. symptoms not caused by organic damage to organs that develop due to uncoordinated work of the autonomic nervous system (ANS). Due to a disruption in the relationships between the parasympathetic and sympathetic divisions of the ANS, a disorder in the regulation of the functioning of internal organs occurs. In addition, the body’s ability to adequately and quickly respond to changes in external conditions suffers.

The factors causing VSD can be very diverse. They can be divided into two conditional groups:

1. Domestic- frequent stressful situations, hereditary predisposition, sudden changes in hormonal levels.
2. External- infectious and inflammatory diseases, various injuries, smoking and regular drinking, chronic fatigue.

Symptoms depend on which organs are affected:

• Heart and blood vessels- almost always the patient exhibits surges in blood pressure, tachycardia or slow heart rate, and arrhythmia. Headaches, dizziness, fainting, sweating, nausea, flushing or paleness of the face, freezing and numbness of the hands and feet are observed.
• Nervous system- increased nervous excitability, emotional lability, depressive states, astheno-neurotic syndrome, sleep disorders, panic fears, neuroses, sexual disorders.
• Respiratory system- constant lack of air, shortness of breath, difficulty breathing, pain when trying to take a deep breath.
• Digestive system- nausea up to attacks of vomiting, intestinal disorders, flatulence, abdominal pain, loss of appetite.

Depending on the prevailing symptoms, the following types of VSD are distinguished:

• Hypertensive- manifestations of the disorder are similar to signs of hypertension (increased blood pressure, headache and dizziness, tachycardia, shortness of breath, nausea, facial flushing, sweating, increased irritability).
• Hypotonic- decreased blood pressure, dizziness, fainting, bradycardia, air deficiency, apathy, drowsiness, high fatigue).
• Cardiac- this type is characterized by manifestations characteristic of cardiac pathologies (pressing and burning pain in the chest, tingling sensations in the heart, difficulty breathing, but organic damage to the organ is not detected).
• Mixed- manifestations of types can periodically replace each other.

The problems with diagnosing VSD are that many of the symptoms of the disorder are similar to signs of other pathologies. The diagnosis of vegetative-vascular dystonia can be made only if during the examination other possibilities for the appearance of painful signs were excluded.

What is ICD?

ICD 10 is an international reference classifier of diseases and health disorders. This classification of diseases is accepted in all countries of the World Health Organization and is updated every ten years. By the way, the next revision is scheduled for this year, 2017. Thanks to the unified designation of pathologies in the form of certain codes, specialists, regardless of the language barrier, understand what we are talking about without getting confused in names and terminology. In addition, ICD 10 makes it possible to collect medical statistics, compare the frequency of occurrence and the nature of certain diseases in different parts of the world.

Necessary conditions for establishing VSD according to ICD 10

The rule according to which vegetative-vascular dystonia is an independent disease was introduced more than fifty years ago in the Soviet Union, and today it is accepted in Russia and in the states that were once republics of the USSR. In Europe and the USA they are trying to find out the true cause of health problems by conducting various additional examinations. It is placed only in cases where no pathological changes in internal organs have been identified that could cause the symptoms observed in the patient.

To make a diagnosis of VSD, it is necessary to:

• Painful changes must concern one or more of the following organs: heart, blood vessels, respiratory organs, esophagus, stomach, large intestine, genitourinary organs.
• The patient should have chronic surges in blood pressure, dizziness, headache, changes in heart rate, hyperemia, and hand tremors for a long time.
• The specialist must diagnose additional symptoms from one of the mentioned organ systems.
• The patient should be extremely concerned about the seriousness of his condition, and no positive results of examinations, explanations from doctors and their attempts to dissuade the person from the severity and incurability of the disease can reassure the patient and eliminate his fears and concerns.
• Examinations do not show disturbances in the structure and functions of this organ system.

Vegetative-vascular dystonia, or neurocirculatory dysfunction, is especially common. Moreover, the disorder is characterized by somatoform signs, which is explained by the fact that in adolescence the growth rate of the body is inferior to massive hormonal changes.

How is VSD determined in ICD 10

Typically, vegetative-vascular dystonia ICD 10 is coded in the class of diseases and disorders of the nervous system, ranging from G90 to G99. The disorder may be coded G90 (ANS disorders), G96 (other nerve disorders), or G98 (nerve disorders not classified in any classes or divisions).

The disorder can also be classified in the ICD class of mental illnesses and disorders under code F45.3. In this case, the pathology is defined as somatoform autonomic dysfunction, and does not relate to neuroses or other mental pathologies. The fact that an unrecognized mental illness is in this class is explained by the fact that the compilers of the classification took into account that the mechanism of development of the disorder is based on changes in the psycho-emotional state of the patient. In addition, VSD can be recorded under code F45.8, meaning other manifestations of disturbances in the emotional state. The assignment of a specific code depends, first of all, on the prevailing symptoms and on which doctor the patient consulted.

As is known, without effective therapy, VSD develops into a stable disease in about a third of patients. Since the heart and blood vessels are most often affected, after some time the patient can be confidently diagnosed with primary (I10) or secondary (I15) hypertension, coronary heart disease (I120-125). In some cases, as a result of VSD, gastritis (K29) or various forms of peptic ulcer (K25-28), bronchial asthma (J45) develop.

Vegetovascular dystonia (VSD) according to the code, that is, according to ICD-10, is not distinguished as a pathology itself, but is interpreted as several disorders. There is no such diagnosis in European countries, and the disease itself is written under other names of ailments associated with the autonomic nervous system. Such disorders are numbered G90-G99.

The essence of the disease VSD according to ICD-10 is expressed in the fact that there is an imbalance in the body or the work of the sympathetic and parasympathetic parts of the nervous system is not controlled. The brain mistakenly receives signals coming from nerve endings. In the future, he gives incorrect commands, which manifest themselves not only in headaches, but also in thermoregulation disorders, as well as gastrointestinal problems. In children or in adolescence, VSD can be encountered more often, which is associated with the slow growth of the nervous system, but also the rapid growth of the body.

Causes of VSD

Vegetovascular dystonia ICD code 10

In the hospital, therapists often make a diagnosis, but do not indicate the ICD-10 VSD code. Subsequently, the patient's chart indicates a disease called “somatoform degenerative dysfunction”, as well as the appropriate code F45.3. The disease is associated with the functioning of the cardiovascular system and the influence of the human psyche on it. As a result of the risk factor, the blood vessels are compressed. Later they expand, and the heart does not have time to get used to changes in pressure.

Pathology coded F45.3 includes:

• vascular dysfunction;
• weakness of the patient;
• neuroses;
• panic attacks;
• dysfunction of body systems.

Experts distinguish such subtypes of VSD as:

• mixed;
• hypertensive;
• hypotonic.

The disease does not fall under the F45.3 classification, since it is only a mental illness, namely, caused by stressful situations. There are no neurotic disorders, and the pathology is interpreted as Da Costa syndrome.

The hypertensive type of VSD disease occurs most often in the category of people over 30 years of age. It is important to distinguish the diagnosis from migraine and severe pain early in treatment. An electroencephalogram can be performed to determine the functional activity of the brain.

Medicines for VSD

Symptoms

The clinical picture matters, and with VSD of the hypertensive type the following symptoms occur:

• increase in pressure. Spontaneous or during physical activity;
• rise in body temperature;
• increased breathing, for example, to the point of asthma attacks;
• nausea or vomiting;
• sudden headaches as a result of a change in position, as well as during stressful situations or under stress;
• chest pain;
• anxiety, fear and panic, as well as self-isolation;
• lethargy and fatigue;
• insomnia.

According to the hypotonic type, all the symptoms are similar, but the only difference is increased fatigue and the predominance of low blood pressure. Headaches are present. They may occur after an unscheduled sleep.

If in foreign medicine a patient has such symptoms, then the patient is further examined. In the future, the doctor may interpret the disease as hypertension. Will put a code in ICD-10 for VSD as for hypertension - I10 or I15. Hypertension occurs in adults. And the very absence of VSD in the classification is explained by the following reasons:

• in adult patients, VSD turns into hypertension;
• In children, VSD occurs at puberty and disappears after puberty.

If the disease does not disappear, then in 70% of cases it turns into hypertension. Medicines that should be taken for VSD are selected by a doctor. Often it is enough to normalize the daily routine so that the symptoms stop disturbing the patient. This is another explanation for the absence of VSD as a single nosology in ICD-10. In case of severe somatic manifestations of the disease, it is important to stabilize the functioning of the nervous system.

Diagnosis of VSD type

This is why groups of drugs are prescribed:

• sedatives;
• antidepressants;
• tranquilizers;
• sleeping pills.

These pills are given with a doctor's prescription. Sometimes hypotonic drugs are prescribed in addition to normalize blood pressure.

VSD according to ICD: mixed form

Symptoms of the disease are characterized by reverse manifestations depending on the situation.

Typical signs of the disease are:

• decreased muscle tone;
• fatigue, as well as lethargy with drowsiness;
• decreased appetite;
• pale skin;
• surges in blood pressure with a predominance of low levels;
• mild brain hypoxia, for example, due to vasospasm or low blood pressure.

The patient himself often feels tired and anxious. He may have panic attacks. According to the psychological type, such a patient is asthenic or neurotic. He is often worried about somatogenic diseases.

VSD according to ICD-10 is interpreted differently. It may also depend on the specialist to whom the patient receives an appointment. Sometimes the disease is concomitant or a complication of some previous infection. The main thing is to find out the cause of vegetative-vascular dystonia and make the main diagnosis according to the international classification.