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    I. P. Kudria, T. I. Shevchenko, T. A. Voroshilova, N. H. Tretiak, I. H. Kryvoruchko, O. О. Pushko, О. А. Shaposhnyk

    DETECTION AND ASSESSMENT OF DISORDERS OF THE DEPRESSIVE SPECTRUM IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION DEPENDING ON THE METHOD OF TREATMENT


    About the author: I. P. Kudria, T. I. Shevchenko, T. A. Voroshilova, N. H. Tretiak, I. H. Kryvoruchko, O. О. Pushko, О. А. Shaposhnyk
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The frequent combination of mental disorders of the depressive spectrum and cardiovascular diseases is one of the most urgent problems of modern medicine. The purpose of the study was to identify and assess, with the help of various psychodiagnostic methods, the degree of severity of depressive disorders in patients with acute myocardial infarction depending on the treatment method as a prerequisite for optimal drug therapy. 73 patients with the aforementioned pathology were studied and were divided into two groups. Group I included 44 patients who underwent urgent coronary angiography with subsequent stenting of the infarct-related coronary artery; Group II – included 29 patients who received only drug therapy. Examination of patients was carried out according to Ukrainian standards, in particular, a survey according to the scale of Beck and Zung. Patients with acute myocardial infarction after urgent coronary angiography with stenting of the infarct-dependent artery were more likely to have mild and moderate depression according to the Beck scale compared to patients who received only conservative medical treatment. The reverse pattern is observed for moderate and severe depression. 68.2% of patients with acute myocardial infarction after interventional intervention and 62.1% on the background of conservative treatment according to the Zung scale showed depression of various degrees of severity, mostly mild.
    Tags acute myocardial infarction,mental state,urgent coronary angiography,drug therapy,stenting
    Bibliography
    • Zhdan VM, Kitura OYe, Kitura YeM, Babanina MYu, Tkachenko MV. Arterialna hipertenziia i sertseva nedostatnist u zahalnolikarskiy praktytsi. Simeyna medytsyna. 2020;1-2(87-88):81–84. [in Ukrainian]
    • Kudria IP, Shevchenko TI, Nasonov DI, Sorokina SI, Shaposhnуk OA. Vyrazhenist rozladiv afektyvnoho spektru u khvorykh na hostryi infarkt miokarda zalezhno vid taktyky likuvannia. Aktualni problemy suchasnoi medytsyny: Visnyk Ukrainskoi medychnoyi stomatolohichnoyi akademii. 2019;19(2):38–43. doi: DOI 10.31718/2077-1096.19.2.38 [in Ukrainian]
    • Rasputina LV, Rasputin  VV. Zalezhnist stupenia depresiyi vid likuvalnoiyi taktyky pry gostromu infarkti miokarda. Bukovynskyi medychnyi visnyk. 2016;20(4):155–60. [in Ukrainian]
    • Filimonova IV. Osoblyvosti reaktsii sympatoadrenalovoyi systemy khvorykh iz depresyvnymy rozladamy pislia revaskuliaryzatsiyi miokarda. Zaporozh. med. zhurn. 2016;3:15–19. doi: 10.14739/2310-1210.2016.3.76916 [in Ukrainian]
    • Bech P. The Bech, Hamilton and Zung scales for mood disorders: screening and listening: a twenty years update with reference to DSM-IV and ICD-10. Springer Science & Business Media; 2012. 63 р.
    • Beck AT, Steer RA, Ball R, Ranieri W. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess. 1996 Dec;67(3):588–97. doi: 10.1207/s15327752jpa6703_13. 
    • Bradley SM, Rumsfeld JS. Depression and cardiovascular disease. Trends Cardiovasc Med. 2015 Oct;25(7):614–22. doi: 10.1016/j.tcm.2015.02.002
    • Feng L, Li L, Liu W, Yang J, Wang Q, Shi L et al. Prevalence of depression in myocardial infarction: a PRISMA-compliant meta-analysis. Medicine (Baltimore). 2019 Feb;98(8):e14596. doi: 10.1097/MD.0000000000014596
    • Figueiredo JH, Silva NA, Pereira BB, Oliveira GM: Major depression and acute coronary syndrome-related factors. Arq Bras Cardiol. 2017 Mar;108(3):217–27. doi: 10.5935/abc.20170028
    • Kala P, Hudakova N, Jurajda M, Kasparek T, Ustonal L, Parencia J, et al. Depression and anxiety after acute myocardial infarction treated by primary PCI. PLoS One. 2016 Apr. 13;11(4):e0152367. doi: 10.1371/journal.pone.0152367. Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/ PMC4830576/
    • Lichtman  JH,  Froelicher  ES,  Blumenthal  JA,  Carney  RM, Doering  LV,  Frasure-Smith  N, et al.  Depression as a risk factor for poor prognosis among patientswith acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation. 2014 Mar 25;129(12):1350-69. doi: 10.1161/CIR.0000000000000019
    • Meneghetti CC, Guidolin BL, Zimmermann PR, Sfoggia A: Screening for symptoms of anxiety and depression in patients admitted to a university hospital with acute coronary syndrome. Trends Psychiatry Psychother. 2017; 39:12-8. doi: 10.1590/2237-6089-2016-0004
    • Mujtaba SF, Sial JA, Karim M. Depression and Anxiety in patients undergoing Percutaneous Coronary Intervention for Acute Coronary Syndrome. Pak J Med Sci. 2020 Jul-Aug;36(5):1100-05. doi:10.12669/pjms.36.5.1749
    • Murphy B, Ludeman D, Elliott P, Judd F, Humphreys J, Edington J, Jackson A, Worcester M. Red flags for persistent or worsening anxiety and depression after an acute cardiac event: a 6-month longitudinal study in regional and rural Australia. Eur J Prev Cardiol. 2014 Sep;21(9):1079-89. doi: 10.1177/2047487313493058
    • Ossola P, Gerra ML, De Panfilis C, Tonna M, Marchesi C. Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome. Health Psychol. 2018 Dec;37(12):1115-22. doi: 10.1037/hea0000658
    Publication of the article «World of Medicine and Biology» №4(82), 2022 year, 107-111 pages, index UDK 616.127-005.8:616.89-08
    DOI 10.26724/2079-8334-2022-4-82-107-111