Influence of psychosocial risk factors on the course and prognosis of cardiovascular diseases

Author:

Drapkina O. M.1ORCID,Fedin A. I.2,Dorofeeva O. A.3ORCID,Medvedev V. E.4ORCID,Kareva E. N.5ORCID,Dzhioeva O. N.6ORCID,Kuklin S. G.7,Solovieva Е. Yu.2ORCID,Abdulganieva D. I.8ORCID,Kim Z. F.8ORCID,Grigorovich M. S.9ORCID,Shaposhnik I. I.10ORCID,Koryagina N. А.11ORCID,Seredenin S. B.3ORCID

Affiliation:

1. National Medical Research Center for Therapy and Preventive Medicine

2. Pirogov Russian National Research Medical University

3. V.V. Zakusov Research Institute of Pharmacology

4. Medical Institute of the Peoples’ Friendship University of Russia

5. I.M. Sechenov First Moscow State Medical University

6. National Medical Research Center for Therapy and Preventive Medicine; Moscow State University of Medicine and Dentistry

7. Irkutsk State Medical Academy of Postgraduate Education, branch of Russian Medical Academy of Continuous Professional Education

8. Kazan State Medical University

9. State Medical University

10. South Ural State Medical University

11. E.A. Wagner Perm State Medical University

Abstract

It has now been established that psychosocial risk factors significantly worsen the course of cardiovascular diseases (CVDs) and reduce patients’ adherence to treatment. Patients with CVDs are characterized by a high prevalence of anxiety comorbidities, which can reach 50-60%. The presence of concomitant anxiety disorders seriously worsens the prognosis of CVDs. The results of studies showed that anxiety increases the risk of fatal myocardial infarction and sudden death by 1,9 times and 4,5 times, respectively. Therefore, the correction of psychosocial factors, in particular anxiety symptoms, should be an important component of the treatment of patients with CVDs. The conducted studies show that the use of fabomotizole in patients with CVD and concomitant anxiety disorders reduces the anxiety manifestations. In addition, a pronounced improvement of somatic status is recorded, which is important for improving the course and prognosis of CVDs. The accumulated experience of fabomotizole use makes it possible to recommend it for the treatment of patients with anxiety and CVDs.

Publisher

Silicea - Poligraf, LLC

Subject

Cardiology and Cardiovascular Medicine

Reference33 articles.

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3. Davydov AT, Litvintsev SV, Butko DYu, et al. Experience in the diagnosis and treatment of anxiety disorder in the post-stroke period in patients who have suffered an ischemic stroke. Russian Medical Journal. 2008;16(5):266-9. (In Russ.)

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