THE RELATIONSHIP BETWEEN DEPRESSION AND CARDIOVASCULAR DISEASE (REVIEW OF LITERATURE)
Rubrics: PSYCHOLOGY AND PSYCHIATRICS
Authors:
1.
Scientific Centre for Family Health and Human Reproduction Problems
(direktor)
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
2.
Irkutsk State Medical University
(Department of Psychiatry and Medical Psychology, Head)
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
3.
Irkutsk State Medical University
(Department of Psychiatry and Medical Psychology, Teaching Assistant)
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
Type:
Article
Pages:
from 124
to 128
Status:
Published
Received:
19.10.2017
Accepted:
22.11.2017
Published:
22.11.2017
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
depressiya, kardiovaskulyarnye zabolevaniya, neblagopriyatnye kardiologicheskie ishody.
Abstract (English):
Stat'ya posvyaschena aktual'noy probleme v oblasti konsul'tativnoy psihiatrii – komorbidnym depressivnym rasstroystvam u pacientov s serdechno-sosudistymi zabolevaniyami. Depressiya shiroko rasprostranena sredi kardiologicheskih pacientov. Primerno 31-45% pacientov s ishemicheskoy bolezn'yu serdca, vklyuchaya pacientov so stenokardiey napryazheniya, nestabil'noy stenokardiey ili infarktom miokarda, stradayut ot klinicheski vyrazhennyh simptomov depressii. Bolee togo, u 20 % pacientov s ishemicheskoy bolezn'yu serdca psihicheskie narusheniya sootvetstvuyut kriteriyam bol'shogo depressivnogo rasstroystva. Pacienty s hronicheskoy serdechnoy nedostatochnost'yu, mercatel'noy aritmiey i implantirovannym kardioverterom-defibrillyatorom takzhe nahodyatsya v gruppe povyshennogo riska razvitiya depressivnyh sostoyaniy. Depressiya ne prosto yavlyaetsya rasprostranennym sputnikom serdechno-sosudistyh zabolevaniy, no i okazyvaet negativnoe vozdeystvie na razlichnye aspekty techeniya zabolevaniya, vklyuchaya kachestvo zhizni, chastotu gospitalizaciy, obrascheniy za medicinskoy pomosch'yu i uroven' smertnosti. V stat'e predstavlen obzor literaturnyh istochnikov, posvyaschennyh fiziologicheskim mehanizmam vzaimosvyazi depressii i kardiologicheskih zabolevaniy. Depressiya i kardiologicheskie zabolevaniya imeyut dvunapravlennuyu svyaz', v kotoroy vospalitel'nye processy, endotelial'naya disfunkciya, povyshennaya aktivnost' trombocitov, disfunkcii neyrogumoral'noy i vegetativnoy nervnoy sistemy, otnosyaschiesya k depressii, i depressivnoe povedenie vzaimno potenciruyut drug druga. Nesmotrya na suschestvovanie effektivnyh i bezopasnyh metodov lecheniya depressii u pacientov s kardiologicheskimi zabolevaniyami, ee chasto nedoocenivayut i ne lechat. Sovmestnye medicinskie programmy – odin iz putey sovershenstvovaniya vyyavleniya i lecheniya depressii u kardiologicheskih pacientov. Neobhodimo provedenie dal'neyshih issledovaniy v etoy oblasti s uchastiem vrachey – kardiologov i psihiatrov.
Stat'ya posvyaschena aktual'noy probleme v oblasti konsul'tativnoy psihiatrii – komorbidnym depressivnym rasstroystvam u pacientov s serdechno-sosudistymi zabolevaniyami. Depressiya shiroko rasprostranena sredi kardiologicheskih pacientov. Primerno 31-45% pacientov s ishemicheskoy bolezn'yu serdca, vklyuchaya pacientov so stenokardiey napryazheniya, nestabil'noy stenokardiey ili infarktom miokarda, stradayut ot klinicheski vyrazhennyh simptomov depressii. Bolee togo, u 20 % pacientov s ishemicheskoy bolezn'yu serdca psihicheskie narusheniya sootvetstvuyut kriteriyam bol'shogo depressivnogo rasstroystva. Pacienty s hronicheskoy serdechnoy nedostatochnost'yu, mercatel'noy aritmiey i implantirovannym kardioverterom-defibrillyatorom takzhe nahodyatsya v gruppe povyshennogo riska razvitiya depressivnyh sostoyaniy. Depressiya ne prosto yavlyaetsya rasprostranennym sputnikom serdechno-sosudistyh zabolevaniy, no i okazyvaet negativnoe vozdeystvie na razlichnye aspekty techeniya zabolevaniya, vklyuchaya kachestvo zhizni, chastotu gospitalizaciy, obrascheniy za medicinskoy pomosch'yu i uroven' smertnosti. V stat'e predstavlen obzor literaturnyh istochnikov, posvyaschennyh fiziologicheskim mehanizmam vzaimosvyazi depressii i kardiologicheskih zabolevaniy. Depressiya i kardiologicheskie zabolevaniya imeyut dvunapravlennuyu svyaz', v kotoroy vospalitel'nye processy, endotelial'naya disfunkciya, povyshennaya aktivnost' trombocitov, disfunkcii neyrogumoral'noy i vegetativnoy nervnoy sistemy, otnosyaschiesya k depressii, i depressivnoe povedenie vzaimno potenciruyut drug druga. Nesmotrya na suschestvovanie effektivnyh i bezopasnyh metodov lecheniya depressii u pacientov s kardiologicheskimi zabolevaniyami, ee chasto nedoocenivayut i ne lechat. Sovmestnye medicinskie programmy – odin iz putey sovershenstvovaniya vyyavleniya i lecheniya depressii u kardiologicheskih pacientov. Neobhodimo provedenie dal'neyshih issledovaniy v etoy oblasti s uchastiem vrachey – kardiologov i psihiatrov.
Keywords:
depressiya, kardiovaskulyarnye zabolevaniya, neblagopriyatnye kardiologicheskie ishody.
depressiya, kardiovaskulyarnye zabolevaniya, neblagopriyatnye kardiologicheskie ishody.
1. Spislit depressiya i serdce
