Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders
In cardiological inpatients, coronary heart disease (CHD) is concurrent with clinical anxiety and depression disorders in 43% of cases. Comorbidity of coronary disease and anxiety and depression disorders is more frequently encountered among women than among men (40 versus 22%) and among post-aortoc...
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Concilium Medicum
2010-03-01
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doaj-383dbaeaa61a449f990552360ddaa5d22021-04-02T21:00:03ZengConcilium MedicumКардиоСоматика2221-71852658-57072010-03-0111515640631Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disordersA. N Repin0E. V Lebedeva1T. N Sergienko2R. S Karpov3Cardiology Research Institute, Siberian Branch, Russian Academy of Medical SciencesResearch Institute of Mental Health, Siberian Branch, Russian Academy of Medical Sciences, TomskCardiology Research Institute, Siberian Branch, Russian Academy of Medical SciencesCardiology Research Institute, Siberian Branch, Russian Academy of Medical SciencesIn cardiological inpatients, coronary heart disease (CHD) is concurrent with clinical anxiety and depression disorders in 43% of cases. Comorbidity of coronary disease and anxiety and depression disorders is more frequently encountered among women than among men (40 versus 22%) and among post-aortocoronary bypass patients. Depressive disorders substantially worsen the course of CHD due to the frequent development of myocardial infarction, low exercise endurance, and patients’ refusal to have endovascular and surgical treatments. Therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants caused a reduction in anxiety and depression disorders along with the improved clinical course of CHD, as evidenced from angina pectoris and heart failure. No serious side effects were observed during continuous SSRI use. The proposed regimen for the joint follow-up, treatment, and rehabilitation of patients by a working group of cardiologists and psychiatrists within a biopsychosocial model of rehabilitation is effective. It may be extensively used in cardiology, in the outpatient setting in particular.https://cardiosomatics.orscience.ru/2221-7185/article/view/44965coronary heart diseasebiopsychosocial rehabilitationanxiety and depression disordersaffective disordersantidepressantsselective serotonin reuptake inhibitorsfluvoxamineaortocoronary bypass surgerypercutaneous transluminnal coronary angioplasty |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
A. N Repin E. V Lebedeva T. N Sergienko R. S Karpov |
spellingShingle |
A. N Repin E. V Lebedeva T. N Sergienko R. S Karpov Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders КардиоСоматика coronary heart disease biopsychosocial rehabilitation anxiety and depression disorders affective disorders antidepressants selective serotonin reuptake inhibitors fluvoxamine aortocoronary bypass surgery percutaneous transluminnal coronary angioplasty |
author_facet |
A. N Repin E. V Lebedeva T. N Sergienko R. S Karpov |
author_sort |
A. N Repin |
title |
Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders |
title_short |
Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders |
title_full |
Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders |
title_fullStr |
Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders |
title_full_unstemmed |
Comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders |
title_sort |
comprehensive rehabilitation of patients with coronary heart disease concurrent with anxiety and depression disorders |
publisher |
Concilium Medicum |
series |
КардиоСоматика |
issn |
2221-7185 2658-5707 |
publishDate |
2010-03-01 |
description |
In cardiological inpatients, coronary heart disease (CHD) is concurrent with clinical anxiety and depression disorders in 43% of cases. Comorbidity of coronary disease and anxiety and depression disorders is more frequently encountered among women than among men (40 versus 22%) and among post-aortocoronary bypass patients. Depressive disorders substantially worsen the course of CHD due to the frequent development of myocardial infarction, low exercise endurance, and patients’ refusal to have endovascular and surgical treatments. Therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants caused a reduction in anxiety and depression disorders along with the improved clinical course of CHD, as evidenced from angina pectoris and heart failure. No serious side effects were observed during continuous SSRI use. The proposed regimen for the joint follow-up, treatment, and rehabilitation of patients by a working group of cardiologists and psychiatrists within a biopsychosocial model of rehabilitation is effective. It may be extensively used in cardiology, in the outpatient setting in particular. |
topic |
coronary heart disease biopsychosocial rehabilitation anxiety and depression disorders affective disorders antidepressants selective serotonin reuptake inhibitors fluvoxamine aortocoronary bypass surgery percutaneous transluminnal coronary angioplasty |
url |
https://cardiosomatics.orscience.ru/2221-7185/article/view/44965 |
work_keys_str_mv |
AT anrepin comprehensiverehabilitationofpatientswithcoronaryheartdiseaseconcurrentwithanxietyanddepressiondisorders AT evlebedeva comprehensiverehabilitationofpatientswithcoronaryheartdiseaseconcurrentwithanxietyanddepressiondisorders AT tnsergienko comprehensiverehabilitationofpatientswithcoronaryheartdiseaseconcurrentwithanxietyanddepressiondisorders AT rskarpov comprehensiverehabilitationofpatientswithcoronaryheartdiseaseconcurrentwithanxietyanddepressiondisorders |
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