Роль и оценка психоэмоционального состояния у пациентов с нарушениями ритма сердца

The aim is to study the influence and assessment of mental and emotional states in patients with arrhythmias.Materials and methods. Literature search was performed using the following resources: PubMed, Web of Science, Scopus, as well as in the search system Google Scholar by the key words “psychoarrhythmology”, “neural-cardiac axis”, “psychocardiology”, “arrhythmogenesis”, and “stress-induced arrhythmia”. Articles should be freely available and should represent the most relevant information on the topic. Studies were selected by the largest sample and citation index.Results. In this review of studies on the correlation of psychosocial factors and constitutional features of personality in patients with arrhythmias, the available data on the pathogenesis of cardiac pathology, including the main arrhythmological disorders in nervous excitation caused by negative emotions and stress are presented. The article also reflects the importance of a multidisciplinary approach to risk prediction, potential risk modifiers and approaches to the treatment of cardiac pathology, taking into account the psycho-emotional state of the patient.Conclusion. Reducing the severity of the disease requires a comprehensive approach, in particular, psychodiagnostics, psychocorrection, psychotherapy and psychopharmacotherapy. Further development of this approach to this problem will lead to the creation of new programs for early diagnosis, prevention and treatment of cardiac pathology. Цель – изучение вопроса влияния и оценки психоэмоционального состояния у пациентов с нарушениями ритма сердца.Материалы и методы. Поиск литературы производился по базам данных PubMed, Web of Science, Scopus, а также в системе Google Scholar по ключевым словам «психоаритмология», «нервно-кардиальная ось»,  психокардиология», «аритмогенез». Статьи должны были находиться в свободном доступе и представлять собой наиболее актуальную информацию по теме. Исследования отбирались по принципу наибольшей выборки и индекса цитирования.Результаты. В обзоре исследований о корреляции психосоциальных факторов и конституциональных особенностей личности у пациентов с нарушениями ритма приведены имеющиеся данные о патогенезе развития кардиальной патологии, в том числе основных аритмологических нарушениях в условиях нервного возбуждения, вызванного негативными эмоциями и стрессом. Отражена важность мультидисциплинарного подхода к прогнозированию риска, описаны потенциальные модификаторы риска и подходы к лечению кардиальной патологии с учетом психоэмоционального состояния пациента.Выводы. Снижение тяжести заболевания требует комплексного подхода, в частности психодиагностики, психокоррекции, психотерапии и психофармакотерапии. Дальнейшее развитие такого подхода к данной проблеме нарушений ритма требует создания новых программ ранней диагностики, профилактики и лечения кардиальной патологии

The role and assesment of mental and emotional state in patients with arrhythmias

The aim is to study the influence and assessment of mental and emotional states in patients with arrhythmias.Materials and methods. Literature search was performed using the following resources: PubMed, Web of Science, Scopus, as well as in the search system Google Scholar by the key words “psychoarrhythmology”, “neural-cardiac axis”, “psychocardiology”, “arrhythmogenesis”, and “stress-induced arrhythmia”. Articles should be freely available and should represent the most relevant information on the topic. Studies were selected by the largest sample and citation index.Results. In this review of studies on the correlation of psychosocial factors and constitutional features of personality in patients with arrhythmias, the available data on the pathogenesis of cardiac pathology, including the main arrhythmological disorders in nervous excitation caused by negative emotions and stress are presented. The article also reflects the importance of a multidisciplinary approach to risk prediction, potential risk modifiers and approaches to the treatment of cardiac pathology, taking into account the psycho-emotional state of the patient.Conclusion. Reducing the severity of the disease requires a comprehensive approach, in particular, psychodiagnostics, psychocorrection, psychotherapy and psychopharmacotherapy. Further development of this approach to this problem will lead to the creation of new programs for early diagnosis, prevention and treatment of cardiac pathology