[24-hour monitoring of electrocardiogram, arterial pressure, and psychovegetative disorders during acute peptic ulcer hemorrhage in patients with hypertensive disease].

65 patients with hypertensive disease (HD) and without it were examined in the acute period of gastroduodenal ulcer hemorrhage (UH) by 24 hour ECG monitoring, measurement of arterial pressure (AP), and evaluation of the severity of psychovegetative syndrome. Control groups comprised 20 patients with ulcer disease (UD), 28 with HD, and 12 with UD + HD. Patients of the latter group, similar to normotensive ones, suffered suppressed function of the sinus node in addition to functional changes in myocardium including a change of ST-T segment. Circadian rhythm of AD was unrelated to the presence and absence of HD. In both cases, blood loss was associated with anxiety-depressive condition and well-apparent ergotropic reactions. Patients with UD and HD had more expressed emotional and personality disorders associated with impaired vegetative response. Dippers had marked sympathetic activity at rest and in vegetative reactivity tests whereas non-dippers showed ergotropic effects in similar tests.