Rymaszewska Joanna, Kiejna Andrzej
Katedra i Klinika Psychiatrii AM we Wrocławiu.
Pol Merkur Lekarski. 2003 Aug;15(86):193-5.
The paper present results of last decade studies on mood and anxiety disturbances in patients who underwent coronary artery bypass grafting (CABG). Cardiovascular disease is currently the leading cause of death and morbidity in the industrialized world. CABG is the most common among surgical methods of its treatment. The incidence of mental disorders in patients after CABG is high. Its cause and pathogenesis are not clearly known. Depression is the risk factor of cardiovascular system diseases and also one of its causes. The heart operation itself is the strong stressful, life-threatening factor. The earlier course of cardiovascular disease and then heart surgery cause changes in style of life and combine with burdensome and arduous rehabilitation process. The social situation of the patients often deteriorates. Depression makes recovery difficult.
本文介绍了过去十年对接受冠状动脉旁路移植术(CABG)患者的情绪和焦虑障碍的研究结果。心血管疾病目前是工业化世界中死亡和发病的主要原因。冠状动脉旁路移植术是其治疗手术方法中最常见的。冠状动脉旁路移植术后患者精神障碍的发生率很高。其病因和发病机制尚不清楚。抑郁症是心血管系统疾病的危险因素,也是其病因之一。心脏手术本身就是一个强烈的压力源和危及生命的因素。心血管疾病的早期病程以及随后的心脏手术会导致生活方式的改变,并与繁重且艰巨的康复过程相结合。患者的社会状况往往会恶化。抑郁症会使康复变得困难。