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Mental disorders. severe asthenia with physical and mental fatigue, phobias, subdepression, amnesia, hypochondriacal experiences, pathological deceit and fantasies, emotional lability, weakness, sensitivity, impressionability, demonstrativeness, suicidal statements and demonstrative preparations for suicide. Somato-vegetative disorders occupy the largest place in hysterical disorders and are the most diverse. Among them are spasms of smooth muscles in the form of lack of air, which sometimes simulates asthma, dysphagia (disturbances in the passage of the esophagus), paresis of the gastrointestinal tract, simulating intestinal obstruction, constipation, and urinary retention. Vomiting, hiccups, regurgitation, nausea, anorexia, and flatulence occur.

Cardiovascular system disorders are common. pulse lability, blood pressure fluctuations, hyperemia or pallor of the skin, acrocyanosis, dizziness, fainting, pain in the heart area simulating heart disease. Occasionally, vicarious bleeding (from intact areas of the skin, uterine and throat bleeding), sexual dysfunction, and false pregnancy occur. As a rule, hysterical disorders are caused by psychogenic diseases, but they also occur in schizophrenia and organic diseases of the brain.

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Anorectic syndrome (“anorexia nervosa” syndrome) is characterized by progressive self-limitation in food, selective consumption of food by the patient in combination with incomprehensible arguments about the need to “lose weight,” “get rid of fat,” “correct your figure.” Less common is the bulimic variant of the syndrome, when patients consume a lot of food and then induce vomiting. Often combined with body dysmorphomania syndrome. Occurs in neurotic conditions, schizophrenia, endocrine diseases.

The core disorders in this syndrome are considered to be disturbances of drives in the form of painful intensification and especially their perversion. There is an exaggeration and distortion of affective and personal characteristics characteristic of adolescence, exaggerated oppositional tendencies, negativism, aggressive manifestations appear, there is a loss, or weakening, or slowdown in the development of higher moral principles (the concepts of good and evil, permitted and unlawful, etc.), sexual perversions, tendencies towards vagrancy, and the use of alcohol and drugs are observed. Occurs in psychopathy and schizophrenia.

Skumin called a cardiac surgical situation a situation in which the patient must immediately make a decisive choice - agree to an operation that opens up the prospect of restoring health, but at the same time poses an immediate threat to life, or refuse, realizing that the disease will inevitably progress, and cardiac surgical correction may become impossible in the future due to the irreversibility of violations. After multivalve replacement, Skumin syndrome occurs more often - 2.6 times than with mitral valve implantation, and 5.7 times than with aortic valve implantation. If one valve is changed, then with aortic replacement the syndrome develops 2.2 times less frequently than with mitral replacement.

The formation of the clinical picture of the syndrome is also influenced by the nature of borderline mental disorders present in 81.9% of patients admitted for cardiac valve replacement surgery. Patients tend to protect themselves from the slightest physical and psycho-emotional stress by introducing inadequate self-restraint regimes. They avoid walking, physical therapy, and other adequate exercise, believing that they can thus prevent premature wear of the implant.