ASSESSMENT OF THE STRESS LEVEL IN PATIENTS OF THE THERAPEUTIC PROFILE IN CRITICAL CONDITION

Critical conditions are the result of acute diseases or chronic decompensation. With them, part of the vital functions of the body are usually violated or there is a threat of their violation in the coming hours. Bacteriemia, products of septic and aseptic inflammation, hyksemia and hypoxia of organs and peripheral tissues, lead to impaired function of the organs that were initially not involved or not initially involved in the initial process. To improve the quality of medical care for patients with a therapeutic profile in critical condition, the development of new methods for assessing the severity of their condition continues. In acute and chronic stressful influences, regulatory systems are depleted, which plays an important role in the development of threatening conditions and deaths. The circulatory system is very sensitive to stress reactions. An analysis of heart rate variability (HRV) is a reliable indicator of stress levels in the body. HRV can be estimated by electrocardiographic indicators, or by pulse oximetric, which are easier to do in clinical practice. Angioscan-01P is a personal diagnostic device for analyzing the state of the vascular wall. It allows you to measure not only the stress index (visualization of the Baevsky index using a chart), but also the degree of stiffness of the vessels (the reciprocal of the elasticity of the vessels), the saturation index (saturation of hemoglobin with oxygen). To determine the role of the stress index, it is necessary to compare it with the main clinical and laboratory indicators of liver and kidney function, the state of the vascular wall, and endothelial function. The found reliable relationships can be used to improve the study evaluating the status of critical patients with a therapeutic profile.

angioscan, rigidity, stress level, Baevsky index, heart rate variability, rhythm rigidity, endothelium