Why the study?
The study was conducted to determine the efficacy of transcranial electrostimulation in treating arterial hypertension I degree in young patients compared with electrically induced sleep therapy.
Does transcranial electrostimulation reduce blood pressure and improve hemodynamics in young patients aged 18-20 years with arterial hypertension I degree compared to electrically induced sleep therapy?
Does transcranial electrostimulation reduce blood pressure and improve hemodynamics in young patients aged 18-20 years with arterial hypertension I degree compared to electrically induced sleep therapy?
Transcranial electrostimulation is a more effective non-pharmacological method than traditional electrosleep therapy for reducing blood pressure and improving hemodynamics in young patients with stage 1 hypertension.
No study data in source; leaves open whether transcranial electrostimulation outperforms electrosleep for stage 1 hypertension.
Purpose: The authors determined the efficacy of transcranial electrostimulation (TES) in treating arterial hypertension I degree in young patients and compared it with electrically induced sleep therapy. Materials and Methods: The performed study is a prospective randomized controlled trial that enrolled 212 patients aged 18-20years with arterial hypertension I degree. Patients were divided into two groups. Group 1 consisted of 110 patients who underwent transcranial electrostimulationusing a method developed at the Institute of Physiology named after I. P. Pavlov, Russian Academy of Sciences in Saint Petersburg. Group 2 included 112 patients who underwent electrically induced sleep therapy procedures with the orbital-retro mastoidal technique of electrode application in a "sedative" mode. The control group included 45 patients with normal blood pressure. All patients underwent 24-hour ambulatory blood pressure monitoring, determination of central hemodynamic parameters, diurnal heart rate variability, and endothelial function parameters. Results: As a result of TES therapy in patients significantly decreased the average diurnal SBP and DBP values, pressure load, normalized the diurnal BP profile, AT, and EF values. As a result of electrosleep therapy, average diurnal SBP, and DBP values decreased unreliably, decreased pressure load, and signs of sympathicotonia, but AT and EF values did not change significantly. TES therapy's effectiveness for treating stage 1 hypertension in young patients is significantly higher by 1.9 times in comparison with electrosontherapy. Conclusion: This study has shown that the TES treatment is more effective than traditional non-pharmacological electrosleep therapyin a "sedative" mode. TES normalizes hemodynamics, BP levels, and EF indicators and can be recommended as one of the methods of antihypertensive therapy in young patients.
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Xu et al. (2023) studied this question.
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