В данной статье рассмотрена одна из наиболее актуальных проблем современной медицины – сочетание тревожно-депрессивных состояний и когнитивных нарушений с сердечно-сосудистыми заболеваниями. На основании данных современных клинических исследований представлены особенности их взаимодействия, показана тесная двунаправленная связь психоневрологических и кардиологических патологий. Обсуждаются вопросы терапии сочетанных патологий, освещены возможности и преимущества использования D,L-Гопантеновой кислоты в структуре комплексной терапии данной коморбидности.
The article addresses the one of the most urgent problems of the medicine – the combination of anxiety-depressive disorders and cognitive impairment with cardiovascular diseases. Based on the data from modern clinical studies, the features of the interaction of associated diseases are presented, a close bidirectional relationship between neuropsychiatric and cardiac pathologies are demonstrated. We touched upon the treatment of combined pathologies, presenting the possibilities and advantages of using D,L-Hopantenic acid in the structure of the complex therapy of this comorbid pathology.
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1. Depression and Other Common Mental Disorders. Global Health Estimates. World Health Organization. Switzerland, 2017. http://apps.who.int/iris/bitstream /10665/254610/1/WHO-MSD-MER-2017.2-eng
2. Fedotova A.V. Trevozhno-depressivnye rasstroistva v obshcheklinicheskoi praktike. Ratsional'naia farmakoterapiia v kardiologii. 2008; 3: 83–8. [in Russian]
3. Suls J, Bunde J. Anger, Anxiety, and Depression as Risk Factors for Cardiovascular Disease: The Problems and Implications of Overlapping Affective Dispositions. Psychological Bulletin 2005; 131 (2): 260–300. DOI: 10.1037/0033-2909.131.2.260
4. Krasnov V.N. Obrazovatel'naia programma po depressivnym rasstroistvam. V 3 t. T. 2. M.: Moskovskii NII psikhiatrii, 2010. [in Russian]
5. Oganov R.G. Materialy simpoziuma: "Depressiia v kardiologii: bol'she, chem faktor riska". Rossiiskii natsional'nyi kongress kardiologov. M., 2003; s. 1–4. [in Russian]
6. Chazov E.I. Depressiia kak faktor razvitiia i progressirovaniia serdechno-sosudistykh zabolevanii. Serdechnaia nedostatochnost'. 2003; 1: 6–8. [in Russian]
7. Carney RM, Freeland KE, Sheline YI et al. Depression and coronary heart disease: a review for cardiologists. Clin Cardiol 1997; 20: 196–200.
8. Januzzi JL Jr, Stern TA, Pasternak RC et al. The influence of anxiety and depression on outcomes of patients with coronary artery disease. Arch Intern Med 2000; 160: 1913–21.
9. Musselman DL, Evans DL, Nemeroff CB. The relationship of depression to cardiovascular disease. Arch Gen Psychiatry 1998; 55: 580–92.
10. Freedland K, Rich M, Skala J et al. Prevalence of depression in hospitalized patients with congestive heart failure. Psychosom Med 2003; 65: 119–28.
11. Easton K, Coventry P, Lovell K et al. Prevalence and Measurement of Anxiety in Samples of Patients With Heart Failure. J Cardiovascular Nursing 2016; 31 (4): 367–79. DOI: 10.1097/jcn.0000000000000265
12. Chazov E.I., Oganov R.G., Pogosova G.V. i dr. Kliniko-epidemiologicheskaia programma izucheniia depressii v kardiologicheskoi praktike: u bol'nykh arterial'noi gipertoniei i ishemicheskoi bolezn'iu serdtsa (KOORDINATA): rezul'taty mnogotsentrovogo issledovaniia. Kardiologiia. 2007; 47 (3): 28–37. [in Russian]
13. Pogosova G.V., Romasenko L.V. Kliniko-epidemiologicheskie kharakteristiki patsientov pozhilogo vozrasta, stradaiushchikh serdechno-sosudistymi zabolevaniiami, komorbidnymi s depressivnymi rasstroistvami (po rezul'tatam mnogotsentrovogo prospektivnogo issledovaniia KOORDINATA). Therapeutic Archive. 2007; 10: 79–82. [in Russian]
14. Davidson KW. Depression and Coronary Heart Disease. ISRN Cardiology 2012; 1–18. DOI: 10.5402/2012/743813
15. Wulsin LR. Is Depression a Major Risk Factor for Coronary Disease? A Systematic Review of the Epidemiologic Evidence. Harvard Rev Psychiatry 2004; 12 (2): 79–93. DOI: 10.1080/10673220490447191
16. Black D, Zimmerman M, Coryell W. Cigarette smoking and psychiatric disorder in a community sample. Ann Clin Psychiatry 1999; 11: 129–36.
17. Kritz-Silverstein D, Barrett-Connor E, Corbeau C. Crosssectional and prospective study of exercise and depressed mood in the elderly: The Rancho Benardo study. Am J Epidemiol 2000; 153: 596–603.
18. Weidner G, Sexton G, McLellarn R et al. The role of Type A behavior and hostility in an elevation of plasma lipids in adult women and men. Psychosomatic Med 1987; 51: 112–22.
19. Anderson RJ, Freedland K, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: A metaanalysis. Diabetes Care 2001; 24: 1069–78.
20. Lauzon C, Beck CA, Huynh T et al. Depression and prognosis following hospitaladmission because of acute myocardial infarction. Can Med Assoc J 2003; 168: 547–52.
21. Van Melle J P, de Jonge P, Spijkerman TA et al. Prognostic Association of Depression Following Myocardial Infarction With Mortality and Cardiovascular Events: A Meta-analysis. Psychosomatic Med 2004; 66 (6): 814–22. DOI: 10.1097/01.psy.0000146294.82810.9
22. Barth J, Schumacher M, Herrmann‐Lingen C. Depression as a risk factor for mortality in patients with coronary heart disease: A meta‐ analysis. Psychosom Med 2004; 66: 802–13.
23. Ladwig KH, Roll G, Breithardt G et al. Post‐infarction depression and incomplete recovery 6 months after acute myocardial infarction. Lancet 1994; 343: 20–3.
24. Soderman E, Lisspers J, Sundin O. Depression as a predictor of return to work in patients with coronary artery disease. Soc Sci Med 2003; 56: 193–202.
25. DiMatteo M, Lepper H, Croghan T. Depression is a risk factor for noncompliance with medical treatment. Arch Intern Med 2000; 160: 2101–7.
26. Lane D, Carroll D, Ring C et al. Predictors of attendance at cardiac rehabilitation after myocardial infarction. J Psychosom Res 2001; 51: 497–501.
27. Rutledge Т, Vaccarino V, Johnson BD et al. Depression and cardiovascular health care costs among women with suspected myocardial ischemia. Prospective results from the WISE (Women’s Ischemia Syndrome Evaluation) Study, 13. J Am College Cardiol 2009; 53 (2): 176–83.
28. Frasure-Smith N, Lesperance F, Gravel G et al. Depression and health-care costs daring the first year following myocardial infarction. J Psychosomatic Res 2000; 48 (4–5): 471–8.
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ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И.Евдокимова» Минздрава России. 127473, Россия, Москва, ул. Делегатская, д. 20, стр. 1
*ostroumova.olga@mail.ru
A.I.Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation. 127473, Russian Federation, Moscow, ul. Delegatskaia, d. 20, str. 1
*ostroumova.olga@mail.ru