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Diagnosis of vegeto-vascular dystonia
Medical expert of the article
Last reviewed: 04.07.2025
Despite the high prevalence of the disease, it is quite difficult to diagnose vegetative-vascular dystonia due to the absence of specific symptoms, and in each specific case it is necessary to demonstrably exclude diseases with similar symptoms, i.e. differential diagnostics is always necessary. The range of diseases that must be excluded is very wide: organic pathology of the central nervous system (neuroinfections, tumors, consequences of traumatic brain injury): various endocrinopathies (thyrotoxicosis, hypothyroidism), symptomatic forms of arterial hypertension and arterial hypotension, ischemic heart disease, as well as myocarditis and myocardial dystrophy, defects and other heart diseases. The occurrence of symptoms of vegetative-vascular dystonia during transitional (critical) age periods (puberty) cannot be a weighty argument for substantiating the diagnosis of vegetative-vascular dystonia without differential diagnostics, since many other diseases often arise or worsen during these periods.
If, in the process of excluding diseases with similar manifestations, the diagnosis of vegetative-vascular dystonia remains the most probable, then the further diagnostic program includes a possible analysis of the causes of its occurrence, determination of the type of vegetative-vascular dystonia by clinical manifestations (according to the accepted classification), as well as studies of ECG, hemodynamics, vascular tone, aimed at clarifying the pathogenesis of circulatory disorders. A study of the vegetative status is mandatory, including determination of the initial vegetative tone, vegetative reactivity, vegetative support of activity.
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