aterosklerozАтеросклерозAteroscleroz2078-256X2949-3633НИИТПМ-филиал ИЦиГ СО РАН10.52727/2078-256X-2022-18-4-395-404ateroskleroz-867Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSАссоциации некоторых психосоциальных факторов с сердечно-сосудистыми заболеваниями и приверженностью к медикаментозному лечению у пациентов, перенесших инфаркт миокардаAssociations of psychosocial factors with adherence for medicamental treatment in post-myocardial infarction patientsКотелкинаО. С.KotelkinaO. S.

Ольга Сергеевна Котелкина, аспирант кафедры кардиологии

628412, Ханты-Мансийский автономный округ – Югра, г. Сургут, просп. Ленина, 1

Olga S. Kotelkina, postgraduate student

1, Lenina ave., Surgut, Khanty-Mansi Autonomous District – Yugra, 628412

kotelkina_os@edu.surgu.ruНиколаевК. Ю.NikolaevK. Yu.

Константин Юрьевич Николаев, д-р мед. наук, проф., зав. лабораторией неотложной терапии

630089, г. Новосибирск, ул. Бориса Богаткова, 175/1

Konstantin Yu. Nikolaev, doctor of medical sciences, professor, head of the laboratory of emergency therapy

175/1, Boris Bogatkov srt., Novosibirsk, 630089

nikolaevky@yandex.ruЛифшицГ. И.LifshitzG. I.

Галина Израилевна Лифшиц, д-р мед. наук, доцент, зав. лабораторией персонализированной медицины

630090, г. Новосибирск, просп. Академика Лаврентьева, 8

Galina I. Lifshitz, doctor of medical sciences, associate professor, head of the laboratory of personalized medicine

8, ave. Academician Lavrentiev, Novosibirsk, 630090

gl62@mail.ruСургутский государственный университетРоссияSurgut State UniversityRussian FederationНаучно-исследовательский институт терапии и профилактической медицины – филиал Федерального государственного бюджетного научного учреждения «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»РоссияResearch Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of SciencesRussian FederationИнститут химической биологии и фундаментальной медицины Сибирского отделения Российской академии наукРоссияInstitute of Chemical Biology and Fundamental MedicineRussian Federation202220012023184395404Copyright © Котелкина О.С., Николаев К.Ю., Лифшиц Г.И., 20232023Котелкина О.С., Николаев К.Ю., Лифшиц Г.И.Kotelkina O.S., Nikolaev K.Y., Lifshitz G.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://ateroskleroz.elpub.ru/jour/article/view/867

Целью данной статьи является обобщение сведений о связях наиболее значимых психосоциальных факторов с сердечно-сосудистыми заболеваниями и приверженностью к медикаментозному лечению у пациентов, перенесших инфаркт миокарда. В многочисленных исследованиях установлены прямые ассоциации депрессии, личностной тревожности, а также враждебности и невротических расстройств с риском развития инфаркта миокарда и наступлением сердечно-сосудистых событий. Жизненное истощение способствует развитию ишемической болезни сердца и является одним из наиболее важных факторов риска как для мужчин, так и для женщин, а также относительно кратковременным прогностическим маркером возникновения инфаркта миокарда. Определено, что изолированные и одинокие люди подвержены повышенному риску инфаркта миокарда и инсульта, а среди лиц с инфарктом миокарда или инсультом в анамнезе – повышенному риску смерти. Представлены убедительные сведения о том, что узкое социальное окружение и неудовлетворительная социальная поддержка повышают риск развития сердечно-сосудистых заболеваний и ухудшают их прогноз. В ряде исследований установлено, что депрессия и тревожность прямо ассоциированы с низкой приверженностью к медикаментозной терапии у лиц, перенесших инфаркт миокарда. Определено, что социальная поддержка пациентов, перенесших инфаркт миокарда, прямо связана с приверженностью к выполнению рекомендаций по вторичной профилактике и медикаментозному лечению.

The aim of this article is to summarize information about the relationship of the most significant psychosocial factors with cardiovascular disease and adherence to medicamental treatment in patients with myocardial infarction. Numerous studies have established direct associations of depression, personal anxiety, as well as hostility and neurotic disorders with the risk of developing myocardial infarction and the onset of cardiovascular events. Exhaustion contributes to the development of coronary heart disease and is one of the most important risk factors for both men and women, as well as a relatively short-term prognostic marker for the occurrence of myocardial infarction. It has been determined that isolated and lonely people are at increased risk of myocardial infarction and stroke, and among those with a history of myocardial infarction or stroke, an increased risk of death. There is convincing evidence that a narrow social environment and poor social support increase the risk of developing cardiovascular diseases and worsen their prognosis. A number of studies have found that depression and anxiety are directly associated with low adherence to drug treatment in patients who have had myocardial infarction. It has been determined that social support for patients who have had myocardial infarction is directly related to adherence to the implementation of recommendations for secondary prevention and drug treatment.

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