References

actabiomedica

Acta Biomedica Scientifica

2541-94202587-9596

Scientific Centre for Family Health and Human Reproduction Problems

10.12737/article_59fad516bdb3e0.52521063

actabiomedica-414

Research Article

ПСИХИАТРИЯ, НАРКОЛОГИЯ И ПСИХОЛОГИЯ

PSYCHOLOGY AND PSYCHIATRY

ДЕПРЕССИЯ И КАРДИОЛОГИЧЕСКИЕ ЗАБОЛЕВАНИЯ (ОБЗОР ЛИТЕРАТУРЫ)

DEPRESSION AND CARDIAC DISEASES (REVIEW OF LITERATURE)

Винокуров

Е. В.

Vinokurov

E. V.

evgeniy_vinokurov@yahoo.com

Собенников

В. С.

Sobennikov

V. S.

vsobennikov@gmail.com

ФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава РоссииIrkutsk State Medical University

2017

28072017

246367

2017

Винокуров Е.В., Собенников В.С.

Vinokurov E.V., Sobennikov V.S.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.actabiomedica.ru/jour/article/view/414

Статья посвящена актуальной проблеме в области консультативной психиатрии - коморбидным депрессивным расстройствам у пациентов с сердечно-сосудистыми заболеваниями. Депрессия широко распространена среди кардиологических пациентов. Примерно 31-45 % пациентов с ишемической болезнью сердца, включая пациентов со стенокардией напряжения, нестабильной стенокардией или инфарктом миокарда, страдают от клинически выраженных симптомов депрессии. Более того, у 20 % пациентов с ишемической болезнью сердца коморбидные психические нарушения соответствуют критериям большого депрессивного расстройства. Пациенты с хронической сердечной недостаточностью, мерцательной аритмией и имплантированным кардиовертер-дефибриллятором также находятся в группе повышенного риска развития депрессивных состояний. Депрессия не просто является распространённым спутником сердечно-сосудистых заболеваний, но и оказывает негативное воздействие на различные аспекты течения заболевания, включая физическое функционирование, качество жизни, частоту госпитализаций, обращений за медицинской помощью и уровень смертности. Вероятность неблагоприятного исхода сердечнососудистых заболеваний повышается, если депрессия сопровождается коморбидной патологической тревогой, которую связывают с рецидивами кардиальных событий и обусловленной ими смертностью. В статье представлен обзор литературных источников, посвящённых эпидемиологии, феноменологии, коморбидным состояниям и факторам риска депрессии при кардиологических заболеваниях. Несмотря на существование эффективных и безопасных методов лечения депрессии у пациентов с кардиологическими заболеваниями, её часто недооценивают и не лечат. Совместные медицинские программы - один из путей совершенствования выявления и лечения депрессии у кардиологических пациентов. Необходимо проведение дальнейших исследований в этой области с участием врачей-терапевтов, кардиологов и психиатров.

The article deals with the important problem in the field of consultative psychiatry - comorbid depressive disorders in patients with cardiovascular diseases. Depression is highly prevalent in cardiac patients. Between 31-45 % of patients with coronary artery disease suffer from clinically significant depressive symptoms. Furthermore, 20 % of patients with coronary heart disease meet criteria for the major depressive disorder. Patients with heartfailure, atrial fibrillation and ones undergoing implantable cardioverter-defibrillator placement are similarly at increased risk for elevated depressive symptoms and for major depressive disorder. In patients with heart diseases, depression is chronic, persistent, and associated with worse health-related quality of life, recurrent cardiac events, and mortality. At present, pharmacologic and psychotherapeutic interventions appear to be safe and effective at reducing depressive symptoms in patients with cardiovascular diseases and may impact cardiac outcomes. Despite this, depression remains under-recognized and undertreated in patients at risk for or living with cardiovascular diseases. In this review, we summarize the evidence linking depression to increased risk of cardiovascular diseases and worse patient outcomes. The paper presents a review of the literature on epidemiology, comorbid conditions, and risk factors for depression in heart diseases. Future studies in this direction with involvement of cardiologists and psychiatrists should be held.

депрессиякардиологическое заболеваниенеблагоприятные кардиологические исходы

depressioncardiac diseaseadverse cardiac outcomes

References1

Bankier B, Januzzi J.L, Littman A.B. (2004). The high prevalence of multiple psychiatric disorders in stable outpatients with coronary heart disease. Psychosom. Med., 66 (5), 645-650.

Barth J, Schumacher M, Herrmann-Lingen C. (2004). Depression as a risk factor for mortality in patients with coronary heart disease: a meta-analysis. Psychosom. Med, 66 (6), 802-813.

Beresnevait M, Benetis R, Taylor G.J, Jurnien K, Kinduris S, Barauskien V. (2010). Depression predicts perioperative outcomes following coronary artery bypass graft surgery. Scand. Cardiovasc. J., 44 (5), 289-294.

Blumenthal J.A, Lett H.S, Babyak M.A, White W, Smith P.K, Mark D.B, Jones R, Mathew J.P, Newman M.F. (2003). Depression as a risk factor for mortality after coronary artery bypass surgery. Lancet, 362 (9384), 604-609.

Burg M.M, Benedetto M.C, Rosenberg R, Soufer R. (2003). Presurgical depression predicts medical morbidity 6 months after coronary artery bypass graft surgery. Psychosom. Med., 65 (1), 111-118.

Carney R.M, Freedland K.E. (2008). Depression in patients with coronary heart disease. Amer. J. Med., 121 (11), 20-27.

Carney R.M, Rich M.W, Freedland K.E, Saini J, TeVelde A, Simeone C, Clark K. (1988). Major depressive disorder predicts cardiac events in patients with coronary artery disease. Psychosom. Med., 50 (6), 627-633.

Celano C.M, Huffman J.C. (2011). Depression and cardiac disease: a review. Cardiol. Rev., 19 (3), 130-142.

Dao T.K, Chu D, Springer J, Gopaldas R.R, Menefee D.S, Anderson T, Hiatt E, Nguyen Q. (2010). Clinical depression, posttraumatic stress disorder, and comorbid depression and posttraumatic stress disorder as risk factors for in-hospital mortality after coronary artery bypass grafting surgery. J. Thorac. Cardiovasc. Surg., 140 (3), 606-610.

Denollet J, Strik J.J, Lousberg R, Honig A. (2006). Recognizing increased risk of depressive comorbidity after myocardial infarction: looking for 4 symptoms of anxietydepression. Psychother. Psychosom., 75 (6), 346-352.

Doering L.V, Moser D.K, Riegel B, McKinley S, Davidson P, Baker H, Meischke H, Dracup K. (2010). Persistent comorbid symptoms of depression and anxiety predict mortality in heart disease. Int. J. Cardiol., 145 (2), 188-192.

Dunkel A, Kendel F, Lehmkuhl E, Babitsch B, Oertelt-Prigione S, Hetzer R, Regitz-Zagrosek V. (2009). Predictors of preoperative depressive risk in patients undergoing coronary artery bypass graft surgery. Clin. Res. Cardiol., 98 (10), 643-650.

Frasure-Smith N, Lespérance F (2008). Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease. Arch. Gen. Psychiat., 65 (1), 62-71.

Frasure-Smith N, Lespérance F, Habra M, Talajic M, Khairy P, Dorian P, Roy D. (2009). Elevated depression symptoms predict long-term cardiovascular mortality in patients with atrial fibrillation and heart failure. Circulation, 120 (2), 134-140.

Freedenberg V, Thomas S.A, Friedmann E. (2011). Anxiety and depression in implanted cardioverter-defibrillator recipients and heart failure: a review. Heart Fail. Clin, 7 (1), 59-68.

Freedland K.E, Carney R.M, Rich M.W. (2011). Effect of depression on prognosis in heart failure. Heart Fail. Clin., 7 (1), 11-21.

Hedayati S.S, Bosworth H.B, Kuchibhatla M, Kimmel P.L, Szczech L.A. (2006). The predictive value of self-report scales compared with physician diagnosis of depression in hemodialysis patients. Kidney Int., 69 (9), 1662-1668.

Huffman J.C, Mastromauro C.A, Sowden G.L, Wittmann C, Rodman R, Januzzi J.L. (2011). A collaborative care depression management program for cardiac inpatients: depression characteristics and in-hospital outcomes. Psychosomatics, 52 (1), 26-33.

Huffman J.C, Smith F.A, Blais M.A, Beiser M.E, Januzzi J.L, Fricchione G.L. (2006). Recognition and treatment of depression and anxiety in patients with acute myocardial infarction. Am. J. Cardiol., 98 (3), 319-324.

Kaptein K.I, de Jonge P, van den Brink R.HS., Korf J. (2006). Course of depressive symptoms after myocardial infarction and cardiac prognosis: a latent class analysis. Psychosom. Med., 68 (5), 662-668.

Kessler R.C, Berglund P, Demler O, Jin R, Koretz D, Merikangas K.R, Rush A.J, Walters E.E, Wang P.S. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289 (23), 3095-3105.

Koenig H.G. (2006). Depression outcome in inpatients with congestive heart failure. Arch. Intern. Med., 166 (9), 991-996.

Kop W.J, Stein P.K, Tracy R.P, Barzilay J.I, Schulz R, Gottdiener J.S. (2010). Autonomic nervous system dysfunction and inflammation contribute to the increased cardiovascular mortality risk associated with depression. Psychosom. Med., 72 (7), 626-635.

Kurdyak P.A, Gnam W.H, Goering P, Chong A, Alter D.A. (2008). The relationship between depressive symptoms, health service consumption, and prognosis after acute myocardial infarction: a prospective cohort study. BMC Health Serv. Res., 8 (200).

Ladwig K.H, Baumert J, Marten-Mittag B, Kolb C, Zrenner B, Schmitt C. (2008). Posttraumatic stress symptoms and predicted mortality in patients with implantable cardioverter-defibrillators: results from the prospective living with an implanted cardioverter-defibrillator study. Arch. Gen. Psychiat, 65 (11), 1324-1330.

Lange H.W, Herrmann-Lingen C. (2007). Depressive symptoms predict recurrence of atrial fibrillation after cardioversion. J. Psychosom. Res., 63 (5), 509-513.

Leung Y.W, Flora D.B, Gravely S, Irvine J, Carney R.M, Grace S.L. (2012). The impact of premorbid and postmorbid depression onset on mortality and cardiac morbidity among patients with coronary heart disease: meta-analysis. Psychosom. Med., 74 (8), 786-801.

Lossnitzer N, Herzog W, Störk S, Wild B, Müller-Tasch T, Lehmkuhl E, Zugck C, Regitz-Zagrosek V, Pankuweit S, Maisch B, Ertl G, Gelbrich G, Angermann C.E. (2013). Incidence rates and predictors of major and minor depression in patients with heart failure. Int. J. Cardiol., 167 (2), 502-507.

Magyar-Russell G, Thombs B.D, Cai J.X, Baveja T, Kuhl E.A, Singh P.P, Barroso M.M.B, Arthurs E, Roseman M, Amin N, Marine J.E, Ziegelstein R.C. (2011). The prevalence of anxiety and depression in adults with implantable cardioverter defibrillators: a systematic review.J. Psychosom. Res., 71 (4), 223-231.

Mallik S, Spertus J.A, Reid K.J, Krumholz H.M, Rumsfeld J.S, Weintraub W.S, Agarwal P, Santra M, Bidyasar S, Lichtman J.H, Wenger N.K, Vaccarino V. (2006). Depressive symptoms after acute myocardial infarction: evidence for highest rates in younger women. Arch. Intern. Med., 166 (8), 876-883.

Martens E.J, de Jonge P, Na B, Cohen B.E, Lett H, Whooley M.A. (2010). Scared to death? Generalized anxiety disorder and cardiovascular events in patients with stable coronary heart disease: the heart and soul study. Arch. Gen. Psychiat., 67 (7), 750-758.

Martens E.J, Smith O.R.F, Winter J, Denollet J, Pedersen S.S. (2008). Cardiac history, prior depression and personality predict course of depressive symptoms after myocardial infarction. Psychol. Med., 38 (2), 257-264.

McCabe P.J. (2010). Psychological distress in patients diagnosed with atrial fibrillation: the state of the science. J. Cardiovasc. Nurs., 25 (1), 40-51.

McKenzie L.H, Simpson J, Stewart M. (2010). A systematic review of pre-operative predictors of post-operative depression and anxiety in individuals who have undergone coronary artery bypass graft surgery. Psychol. Health Med, 15 (1), 74-93.

Myers V, Gerber Y, Benyamini Y, Goldbourt U, Drory Y. (2012). Post-myocardial infarction depression: increased hospital admissions and reduced adoption of secondary prevention measures - a longitudinal study. J. Psychosom. Res., 72 (1), 5-10.

Parker G, Hyett M, Hadzi-Pavlovic D, Brotchie H, Walsh W. (2011). GAD is good? Generalized anxiety disorder predicts a superior five-year outcome following an acute coronary syndrome. Psychiat. Res., 188 (3), 383-389.

Phillips A.C, Batty G.D, Gale C.R, Deary I.J, Osborn D, MacIntyre K, Carroll D. (2009). Generalized anxiety disorder, major depressive disorder, and their comorbidity as predictors of all-cause and cardiovascular mortality: the Vietnam experience study. Psychosom. Med., 71 (4), 395-403.

Roest A.M, Martens E.J, Denollet J, de Jonge P. (2010). Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: a meta-analysis. Psychosom. Med., 72 (6), 563-569.

Rutledge T, Reis V.A, Linke S.E, Greenberg B.H, Mills P.J. (2006). Depression in heart failure. A meta-analytic review of prevalence, intervention effects, and associations with clinical outcomes. J. Am. Coll. Cardiol., 48 (8), 1527-1537.

Sears S.F, Hauf J.D, Kirian K, Hazelton G, Conti J.B. (2011). Posttraumatic stress and the implantable cardioverterdefibrillator patient: what the electrophysiologist needs to know. Circ. Arrhythm. Electrophysiol., 4 (2), 242-250.

Snyderman D, Wynn D. (2009). Depression in cancer patients. Prim. Care, 36 (4), 703-719.

Spijkerman T.A, van den Brink R.H.S, Jansen J.H.C, Crijns H.J.G.M, Ormel J. (2005). Who is at risk of post-MI depressive symptoms?J. Psychosom. Res., 58 (5), 425-432.

Strik J.J.M.H, Lousberg R, Cheriex E.C, Honig A. (2004). One-year cumulative incidence of depression following myocardial infarction and impact on cardiac outcome. J. Psychosom Res., 56 (1), 59-66.

Suzuki T, Shiga T, Kuwahara K, Kobayashi S, Suzuki S, Nishimura K, Suzuki A, Ejima K, Manaka T, Shoda M, Ishigooka J, Kasanuki H, Hagiwara N. (2010). Prevalence and persistence of depression in patients with implantable cardioverter defibrillator: a 2-year longitudinal study. Pacing Clin. Electrophysiol., 33 (12), 1455-1461.

Van den Broek K.C, Tekle F.B, Habibovic M, Alings M, van der Voort P.H, Denollet J. (2013). Emotional distress, positive affect, and mortality in patients with an implantable cardioverter defibrillator. Int. J. Cardiol., 165, 327-332.

Van der Kooy K, van Hout H, Marwijk H, Marten H, Stehouwer C, Beekman A. (2007). Depression and the risk for cardiovascular diseases: systematic review and meta-analysis. Int. J. Geriatr. Psychiatry, 22 (7), 613626.

Van Melle J.P., de Jonge P, Spijkerman T.A, Tijssen J.G.P, Ormel J, van Veldhuisen D.J, van den Brink R.H.S, van den Berg M.P. (2004). Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a meta-analysis. Psychosom. Med, 66 (6), 814-822.

Von Känel R, Baumert J, Kolb C, Cho E.Y.N, Ladwig K.H. (2011). Chronic posttraumatic stress and its predictors in patients living with an implantable cardioverter defibrillator. J. Affect Disord., 131 (1-3), 344-352.

Whang W, Kubzansky L.D, Kawachi I, Rexrode K.M, Kroenke C.H, Glynn R.J, Garan H, Albert C.M. (2009). Depression and risk of sudden cardiac death and coronary heart disease in women. Results from the nurses’ health study. J. Am. Coll. Cardiol., 53 (11), 950-958.

Wulsin L.R, Singal B.M. (2003). Do depressive symptoms increase the risk for the onset of coronary disease? A systematic quantitative review. Psychosom. Med., 65 (2), 201-210.

The authors declare that there are no conflicts of interest present.