Yu Hao, Zhao Yan, Li Yawen
Department of Cardiology, The Central Hospital of Dalian, Dalian, China.
Evid Based Complement Alternat Med. 2022 Oct 15;2022:2061340. doi: 10.1155/2022/2061340. eCollection 2022.
Arrhythmia patients complicated with psychological problems are very common in clinics. The imbalance of autonomic nervous regulation of the heart caused by anxiety and depression will further promote the occurrence and development of arrhythmia. For nonorganic heart disease, receptor blockers combined with antianxiety drugs have a good effect. Therefore, it is necessary to analyze the influencing factors of anxiety and depression in patients with arrhythmias.
We included 150 patients with arrhythmia and divided them into observation groups (80 patients with anxiety and depression) and control groups (70 patients without anxiety and depression). All patients were monitored by Holter, and the detection of arrhythmia was compared between the two groups. We took the general situation and quality of life of the investigated patients as independent variables and the anxiety and depression status of the patients as dependent variables.
The detection rates of atrioventricular premature beats, ventricular premature beats, atrial fibrillation, short bursts of atrial tachycardia, and atrioventricular block in the observation group were all higher than those in the control group by dynamic electrocardiogram. Multivariate logistic stepwise regression analysis showed that age, years of education, obsessive-compulsive score, somatization score and alcohol consumption were the main influencing factors for anxiety and depression.
The detection rate of arrhythmia in patients with anxiety/depression status was higher than in those without abnormal psychophylaxis. We should need to pay close attention to the risk factors of age, education years, obsessive-compulsive score, somatization score, and alcohol consumption, so as to prevent and timely detect anxiety and depression symptoms in patients with arrhythmias.
心律失常合并心理问题的患者在临床上十分常见。焦虑和抑郁导致的心脏自主神经调节失衡会进一步促进心律失常的发生和发展。对于非器质性心脏病，β受体阻滞剂联合抗焦虑药物疗效良好。因此，有必要分析心律失常患者焦虑和抑郁的影响因素。
纳入150例心律失常患者，分为观察组（80例伴有焦虑和抑郁）和对照组（70例无焦虑和抑郁）。所有患者均行动态心电图监测，比较两组心律失常的检出情况。将被调查患者的一般情况和生活质量作为自变量，患者的焦虑和抑郁状态作为因变量。
动态心电图显示，观察组房室早搏、室性早搏、心房颤动、短阵房性心动过速及房室传导阻滞的检出率均高于对照组。多因素logistic逐步回归分析显示，年龄、受教育年限、强迫症状评分、躯体化评分及饮酒是焦虑和抑郁的主要影响因素。
焦虑/抑郁状态患者心律失常的检出率高于心理状态正常者。应密切关注年龄、受教育年限、强迫症状评分、躯体化评分及饮酒等危险因素，以预防和及时发现心律失常患者的焦虑和抑郁症状。
