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新冠疫情时代的心理-心脏疾病

Psycho-Cardiological Disease in COVID-19 Era.

作者信息

Tian Peiqing, Liu Yixuan, Wang Jiayu, Xing Liyun, Liu Ping

机构信息

Department of Cardiology, The Second Hospital of Shandong University, 250033 Jinan, Shandong, China.

School of Clinical and Basic Medicine, Shandong First Medical University, 250117 Taian, Shandong, China.

出版信息

Rev Cardiovasc Med. 2023 Aug 18;24(8):239. doi: 10.31083/j.rcm2408239. eCollection 2023 Aug.

Abstract

During the coronavirus disease 2019 (COVID-19) pandemic, panic and public health responses, including self-monitored quarantine and lockdown of the city, have severely impacted mental health and caused depression or anxiety in citizens. Psycho-cardiology indicates that psychological factor plays an important role in coronary heart disease (CHD). COVID-19, depression and CHD can co-exist and deleteriously affect each other, leading to worse progression and prognosis. Delays in medical consultation and treatment have become more common than before the pandemic, inducing more cardiovascular (CV) events and sequelae. COVID-19 survivors have been identified to have more psycho-cardiological symptoms compared with non-COVID-19 controls. Undoubtedly, diet alterations and sedentary lifestyles during the pandemic will cause and aggravate psycho-cardiological diseases. Some frequently used cardiovascular drugs were found to associate with changes in depression. With the advent of the post-pandemic era, although the acute damage of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is gradually declining, the psycho-cardiological diseases related to the novel coronavirus are becoming increasingly prominent. So it is an important issue for us to explore the pathogenesis, clinical manifestations and corresponding preventive measures of this aspect.

摘要

在2019冠状病毒病(COVID-19)大流行期间,恐慌及公共卫生应对措施,包括自我监测隔离和城市封锁,已严重影响心理健康,并导致市民出现抑郁或焦虑。心理心脏病学表明,心理因素在冠心病(CHD)中起重要作用。COVID-19、抑郁症和冠心病可能同时存在并相互产生有害影响,导致病情进展和预后更差。与疫情前相比,医疗咨询和治疗的延迟变得更加常见,引发了更多心血管(CV)事件和后遗症。与非COVID-19对照组相比,已确定COVID-19幸存者有更多的心理心脏病学症状。毫无疑问,大流行期间饮食改变和久坐不动的生活方式将导致并加重心理心脏病学疾病。人们发现一些常用的心血管药物与抑郁症的变化有关。随着大流行后时代的到来,尽管严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的急性损害逐渐减少,但与新型冠状病毒相关的心理心脏病学疾病正日益突出。因此,探索这方面的发病机制、临床表现及相应的预防措施对我们来说是一个重要问题。

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