DEPRESSION AND CARDIAC DISEASES (REVIEW OF LITERATURE)
Rubrics: PSYCHOLOGY AND PSYCHIATRICS
Authors:
1.
Irkutsk State Medical University
(Department of Psychiatry and Medical Psychology, Head)
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
2.
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 63
to 67
Status:
Published
Received:
01.11.2017
Accepted:
02.11.2017
Published:
02.11.2017
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
depressiya, kardiologicheskoe zabolevanie, 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 komorbidnye psihicheskie narusheniya sootvetstvuyut kriteriyam bol'shogo depressivnogo rasstroystva. Pacienty s hronicheskoy serdechnoy nedostatochnost'yu, mercatel'noy aritmiey i implantirovannym kardioverter-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 fizicheskoe funkcionirovanie, kachestvo zhizni, chastotu gospitalizaciy, obrascheniy za medicinskoy pomosch'yu i uroven' smertnosti. Veroyatnost' neblagopriyatnogo ishoda serdechno- sosudistyh zabolevaniy povyshaetsya, esli depressiya soprovozhdaetsya komorbidnoy patologicheskoy trevogoy, kotoruyu svyazyvayut s recidivami kardial'nyh sobytiy i obuslovlennoy imi smertnost'yu. V stat'e predstavlen obzor literaturnyh istochnikov, posvyaschennyh epidemiologii, fenomenologii, komorbidnym sostoyaniyam i faktoram riska depressii pri kardiologicheskih zabolevaniyah. 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-terapevtov, 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 komorbidnye psihicheskie narusheniya sootvetstvuyut kriteriyam bol'shogo depressivnogo rasstroystva. Pacienty s hronicheskoy serdechnoy nedostatochnost'yu, mercatel'noy aritmiey i implantirovannym kardioverter-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 fizicheskoe funkcionirovanie, kachestvo zhizni, chastotu gospitalizaciy, obrascheniy za medicinskoy pomosch'yu i uroven' smertnosti. Veroyatnost' neblagopriyatnogo ishoda serdechno- sosudistyh zabolevaniy povyshaetsya, esli depressiya soprovozhdaetsya komorbidnoy patologicheskoy trevogoy, kotoruyu svyazyvayut s recidivami kardial'nyh sobytiy i obuslovlennoy imi smertnost'yu. V stat'e predstavlen obzor literaturnyh istochnikov, posvyaschennyh epidemiologii, fenomenologii, komorbidnym sostoyaniyam i faktoram riska depressii pri kardiologicheskih zabolevaniyah. 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-terapevtov, kardiologov i psihiatrov.
Keywords:
depressiya, kardiologicheskoe zabolevanie, neblagopriyatnye kardiologicheskie ishody
depressiya, kardiologicheskoe zabolevanie, neblagopriyatnye kardiologicheskie ishody
1. Spislit depressiya i kardio
