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身心连接:精神疾病的心血管后果。

Mind-Body Connection: Cardiovascular Sequelae of Psychiatric Illness.

机构信息

Department of Medicine, Baptist Memorial Hospital, Memphis, TN.

College of Medicine, University of Tennessee Health Science Center, Memphis, TN.

出版信息

Curr Probl Cardiol. 2022 Oct;47(10):100959. doi: 10.1016/j.cpcardiol.2021.100959. Epub 2021 Aug 4.

Abstract

Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the world. Mental health disorders are associated with the onset and progression of cardiac disease. The adverse sequelae of this association include worsened quality of life, adverse cardiovascular outcomes, and heightened mortality. The increased prevalence of CVD is partly explained by increased rates of traditional cardiovascular risk factors including hypertension, hyperlipidemia, diabetes mellitus, obesity, and smoking, but mental illness is an independent risk factor for CVD and mortality. Given the association between mental health disorders and poor cardiovascular health, it is vital to have an early and accurate identification and treatment of these disorders. Our review article shares the current literature on the adverse cardiovascular events associated with psychiatric disorders. We present a review on depression, anxiety, bipolar disorder, schizophrenia, type A and D personality disorders, obsessive-compulsive disorder, and stress.

摘要

心血管疾病(CVD)是全球发病率和死亡率的主要原因。精神健康障碍与心脏病的发生和进展有关。这种关联的不良后果包括生活质量恶化、心血管不良结局和死亡率升高。CVD 患病率的增加部分可以用包括高血压、高血脂、糖尿病、肥胖和吸烟在内的传统心血管危险因素的增加来解释,但精神疾病是 CVD 和死亡率的独立危险因素。鉴于精神健康障碍与心血管健康不良之间的关联,早期准确识别和治疗这些障碍至关重要。我们的综述文章分享了与精神障碍相关的不良心血管事件的现有文献。我们介绍了抑郁症、焦虑症、双相情感障碍、精神分裂症、A型和 D 型人格障碍、强迫症和压力等方面的内容。

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