HRV is technology of the third Millennium. It creates favorable conditions of individual approach to every patient, treatment of the patient, but not of his disease. The system of concepts necessary for the best management was realized by this technology. Let us examine the most important principles.

Reserves and quality of health are thought to be a storage of man's vital resources and his ability to endure extreme stresses, to resist diseases, to recover from acute diseases in the favorable way, to go through the chronic disease with the best outcome, especially during the periods of its exacerbation.

The reserves and quality of health are determined by state of regulation, its power and quality, level of its development. The HRV technology shows that an obligatory condition for remaining healthy is keeping certain correlation of humoral, sympathetic and parasympathetic regulation and their positive reactions to stress. Dis-coordination of any of these branches does harm to health.

The essential conditions for high reserves and high quality of health are adequately high TP, or high HRV, originating in sinoatrial node with sufficient powers of humoral and autonomic branches corresponding to patient's age, sex, level of physical development, circadian dynamics and other conditions, satisfactory reaction to physical or mental stress, adequate response to autonomic tests etc.

An ability to resist diseases directly depends on the reserves and quality of health. The better they are, the better the chances of getting healed. We can make prognosis of normal state of health or probability to get ill, on the basis of the estimation of reserves and quality of health. Probability to get ill increases if

1. TP decreases but the regulatory systems activity ratio and there reactions to stress remain unchanged
2. the total power (TP ) of regulation stays high but the regulatory systems activity ratio is inadequate
3. reactions to stress are not sufficient even in case of normal TP and neuro - humoral balance in resting conditions

It is important to understand that both illness and health have their own standards. Disease requires certain changes in the regulatory systems that need to be adequate in degree and terms. The disease is much more difficult to treat if the regulatory systems have not reacted to the unfavorable situation or dynamics of their activity modulation was disturbed. The same result could be achieved if changes in the power of regulation conform to the illness, but the balance of the regulatory systems necessary for its favorable current is disturbed. The probability of protracted disease current, complications, chronic diseases and fatal outcome increases.

The adequate reactions of regulatory systems create favorable conditions for treatment. In that case outcome is always better: more qualitative recovery, less complications and their consequences, exacerbations occur rarely and are less intensive, the risk of fatal outcome decreases. If changes of regulation do not conform to a favorable current of disease, it is possible that complications might take place. We should beware correcting the parameters mirroring regulation in a sick person according to standards of a healthy one, for this might be a special way of jatrogenous action.

The regulation of chronic patient has its own particularities, because it is to provide both vital functions of organism and control of the disease current, it also needs to develop and supply sanogenetic, compensatory and adaptive mechanisms. Naturally, such a patient has his own standards of regulation that differ from a healthy person. It is necessary to examine his regulation in dynamics of disease in order to help him without doing any harm. We should evaluate optimal parameter values of remission and favorable outcomes of exacerbations. It is also extremely important not to miss the changes in the regulatory systems activity preceding the complication beginning, their "aura" so to say. These principles of treatment are good because they imply timely and appropriate interference for preventing possible exacerbations. However it is always dangerous when the power of regulation decreases critically or activity of one of its branches disappears. Especially in case of parasympathetic branch. In this case you should not expect a miracle but interfere actively!

The drugs are used in the treatment of patients. There are many of them.
The same patient with the same clinical problem may be prescribed the medications with different mechanisms of action. The doctor should know the value of the result expected. Everything is all right if the drug stimulates better regulation or, at least, does not make it worse during the achievement of the planned effect. In the opposite case the doctor should think about the replacement of that drug. Doses and therapy regimen should be selected in the same way. Test the drug before use if you have an ability to control the regulatory systems. Compare the results received with the effects of other drugs. Choose the best of them.
You will achieve successful result!

During illness a special place belongs to adequate changes of regulation. There is no pathological process that does not depend on the regulation. If that process goes out of control it is difficult to re-direct it correctly. When we interfere in the current of the disease we sometimes may aim it at the wrong direction. So a thorough dynamic control of regulatory systems and processes is obligatory. If the regulation reflects disease and changes according to its favorable current, then everything is all right. If not, then the doctor should interfere for getting better prognosis and result of treatment. The technology of HRV is your best assistant!