arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2012-18-4-310-315arthyper-1713Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESКачество жизни больных ишемической болезнью сердца с коморбидными аффективными расстройствами тревожно-депрессивного спектраQuality of life in patients with coronary artery disease and comorbid anxiety-depressive disordersКозловаС. Н.KozlovaS. N.senpolia58@yandex.ruФГБУ «Федеральный Центр сердца, крови и эндокринологии им. В.А. Алмазова» Минздравсоцразвития РФ; ГБОУ ВПО «Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздравсоцразвития РФРоссияAlmazov Federal Heart, Blood and Endocrinology Centre, St Petersburg, Russia; Pavlov St Petersburg State Medical University, St Petersburg, RussiaRussian Federation201228082012184310315Copyright © Козлова С.Н., 20122012Козлова С.Н.Kozlova S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1713

Цель исследования — изучение качества жизни больных ишемической болезнью сердца (ИБС) с коморбидными тревожно-депрессивными расстройствами. Материалы и методы. Обследовано 163 больных с хроническими формами ИБС. Диагноз тревожно-депрессивного расстройства устанавливался по МКБ-10. Качество жизни оценивали с помощью Сиэтлского опросника для стенокардии. Результаты. Установлено, что больные ИБС с аффективными расстройствами воспринимают стенокардию как болезнь более негативно, чем пациенты с ИБС без аффективных нарушений. По сравнению с группой ИБС без нарушений настроения, больные ИБС с коморбидными нарушениями с преобладанием депрессивного компонента характеризуются более низким качеством жизни. У мужчин, страдающих ИБС и коморбид-ными аффективными расстройствами, показатели качества жизни значительно ниже. Выводы. Среди больных ИБС с коморбидными тревожно-депрессивными расстройствами наиболее низкое качество жизни у пациентов с преобладанием депрессивного компонента и у мужчин.

Objective. To study quality of life in patients with coronary artery disease (CAD) and comorbid anxiety-depressive disorders. Design and methods. 163 patients with CAD were surveyed. The diagnosis of anxiety-depressive disorders was confirmed according ICD-10. Quality of life was studied with Seattle Angina Questionnaire. Results. Patients with CAD and affective disorders perceive angina, as an illness, more negatively. Patients with CAD and prevalent depressive component are characterized by poorer quality of life. In males quality of life is lower. Conclusion. Among patients with CAD and comorbid anxiety-depressive disorders those with prevalent depressive component and males have the poorest quality of life.

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The authors declare that there are no conflicts of interest present.