Shishkova V N, Imamgayazova K E, Kapustina L A
National Medical Research Center for Therapeutic and Preventive Medicine, Russian Ministry of Health, Moscow, Russia.
Neurosci Behav Physiol. 2022;52(9):1373-1378. doi: 10.1007/s11055-023-01369-w. Epub 2023 Feb 21.
This review discusses the importance of the main psychoemotional risk factors for the development of chronic noncommunicable diseases. Current data on the prevalence of anxiety and depressive disorders in patients with cardiovascular disease (CVD) are presented. Data on the relationship between the development of psychoemotional disorders and CVD are summarized and the prospects for managing such patients within the framework of interdisciplinary cooperation are discussed. The main pathogenetic mechanisms for the development of complications, including CNS damage in COVID-19, are considered. The significance of the selection of pathogenetic therapy for patients with comorbid somatic and mental diseases in the context of the COVID-19 pandemic is discussed. Results from multicenter placebo-controlled studies of the use of fluvoxamine in patients with COVID-19 of varying severity are addressed.
本综述讨论了慢性非传染性疾病发生的主要心理情绪风险因素的重要性。文中呈现了心血管疾病(CVD)患者中焦虑和抑郁障碍患病率的当前数据。总结了心理情绪障碍的发生与心血管疾病之间的关系,并讨论了在跨学科合作框架内管理此类患者的前景。考虑了并发症发生的主要发病机制,包括新型冠状病毒肺炎(COVID - 19)中的中枢神经系统损伤。讨论了在COVID - 19大流行背景下,为合并躯体和精神疾病的患者选择病因治疗的重要性。阐述了不同严重程度的COVID - 19患者使用氟伏沙明的多中心安慰剂对照研究结果。