{"id":7627,"date":"2018-01-19T14:01:33","date_gmt":"2018-01-19T14:01:33","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=7627"},"modified":"2018-01-19T14:14:44","modified_gmt":"2018-01-19T14:14:44","slug":"7627-2","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/7627-2\/","title":{"rendered":"Depresia \u015fi bolile cardiovasculare"},"content":{"rendered":"
\"Dr.<\/a>
Dr. Larisa Silvia Grosu \u2013 medic specialist psihiatru www.depresiv.ro<\/em><\/figcaption><\/figure>\n

Depresia reprezint\u0103 o problem\u0103 major\u0103 de s\u0103n\u0103tate public\u0103 la nivel mondial \u0219i o cauz\u0103 important\u0103 de morbiditate. Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS) preconizeaz\u0103 c\u0103 p\u00e2n\u0103 \u00een anul 2020 depresia va fi a doua cauz\u0103 de morbiditate \u00een lume. Mai mult de at\u00e2t, depresia este prezent\u0103 la aproximativ 20% dintre pacien\u021bii cu boli cardiace. Asocierea dintre depresie \u0219i\u00a0 diferite afec\u021biuni cardiovasculare (Hipertensiune arterial\u0103 esen\u021bial\u0103, Tulbur\u0103ri de ritm \u0219i de conducere cardiac\u0103, Insuficien\u021b\u0103 cardiac\u0103, Infarct miocardic, Angin\u0103 Instabil\u0103) are un impact negativ asupra evolu\u021biei ambelor patologii conduc\u00e2nd la rezultate terapeutice mai slabe, cre\u0219terea ratei apari\u021biei complica\u021biilor cardiovasculare, sc\u0103derea calit\u0103\u021bii vie\u021bii, spitaliz\u0103ri mai frecvente. Astfel, depistarea precoce a depresiei\u00a0 \u0219i ini\u021bierea unui tratament antidepresiv adecvat\u00a0 la pacien\u021bii cu afec\u021biuni cardiovasculare\u00a0 sunt aspecte foarte importante pentru\u00a0 \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii pacientului \u0219i prevenirea instal\u0103rii complica\u021biilor.<\/p>\n

Ce este depresia? Care sunt semnele \u015fi simptome depresiei ?<\/strong><\/p>\n

Depresia este o afec\u021biune sever\u0103, \u00een general cu o evolu\u021bie cronic\u0103 care ne limiteaz\u0103 func\u021bionarea \u00een aproape toate domeniile de activitate. Principalele manifest\u0103ri ale depresiei sunt:\u00a0 dispozi\u021bie depresiv\u0103, diminuarea interesului \u0219i a pl\u0103cerii \u0219i oboseal\u0103. Pacien\u021bii care au suferit recent un eveniment cardiovascular prezint\u0103 un risc mai mare de apari\u021bie a depresiei dec\u00e2t popula\u021bia genereal\u0103.<\/p>\n

 <\/p>\n

La ace\u0219ti pacien\u021bi este important\u0103 identificarea urm\u0103toarelor manifest\u0103ri ale depresiei:<\/p>\n

    \n
  • dificult\u0103\u021bi de concetrare,<\/li>\n
  • tulbur\u0103ri de somn,<\/li>\n
  • reducerea apetitului alimentar,<\/li>\n
  • anxietate, tensiune interioar\u0103, iritabilitate,<\/li>\n
  • oboseal\u0103,<\/li>\n
  • pesimism (g\u00e2nduri de vinov\u0103\u021bie, de inferioritate)<\/li>\n<\/ul>\n

    \u00cen anumite cazuri mai severe, pacien\u021bii descriu existen\u021ba unor idei de inutilitate \u0219i incurabilitate uneori chiar \u0219i idei sau g\u00e2nduri recurente de autov\u0103t\u0103mare sau suicid.<\/p>\n

    Cine stabile<\/strong>\u0219<\/strong>te diagnosticul? Cine monitorizeaz\u0103 evolu<\/strong>\u021b<\/strong>ia pacien<\/strong>\u021b<\/strong>ilor depresivi cu afec<\/strong>\u021b<\/strong>iuni cardiovasculare asociate?<\/strong><\/p>\n

    Un procent semnificativ dintre pacien\u021bii care sufer\u0103 de depresie, cu sau f\u0103r\u0103 afec\u021biuni cardiovasculare asociate nu sunt diagnostica\u021bi la timp sau nu primesc \u00eengrijirile terapeutice adecvate. De aceea medicul de familie de\u021bine un rol cheie \u00een depistarea precoce a simptomelor depresive \u0219i \u00eendrumarea acestor pacien\u021bi c\u0103tre un serviciu de psihiatrie. \u00cen mod particular, la pacien\u021bii cu antecedente cardiovasculare medicul cardiolog poate fi cel care recomand\u0103 o evaluare psihiatrica \u00een vederea stabilirii unui diagnostic de depresie.<\/p>\n

    Care este conduita terapeutic\u0103 recomandat\u0103 la pacien<\/strong>\u021bii depresivi cu afec<\/strong>\u021biuni cardiovasculare asociate<\/strong>?<\/p>\n

    Cea mai utilizat\u0103 \u0219i eficient\u0103 abordarea terapeutic\u0103 s-a dovedit a fi asocierea dintre tratamentul psihologic \u0219i cel farmacologic<\/p>\n

    Tratamentul psihologic<\/strong><\/p>\n

    Poate fi reprezentat de una dintre urm\u0103toarele forme de psihoterapie: terapia cognitiv comportamental\u0103 sau interpersonal\u0103. \u00cen anumite cazuri consilierea suportiv\u0103 s-a dovedit a fi cea mai bun\u0103 metod\u0103 de tratament psihologic.<\/p>\n

    Tratamentul farmacologic<\/strong><\/p>\n

    Dintre agen\u021bii farmacologici utiliza\u021bi \u00een mod curent \u00een tratamentul depresiei, inhibitorii selectivi ai recapt\u0103rii serotoninei (SSRI) par s\u0103 aib\u0103 cel mai bun profil de siguran\u021b\u0103 \u00een ceea ce prive\u0219te apari\u021bia efectelor adverse. Cu toate acestea,\u00a0 ace\u0219tia ar trebui s\u0103 fie utiliza\u021bi cu precau\u021bie la pacien\u021bii cu afec\u021biuni cardiovasculare asociate\u00a0 datorita efectului pe care \u00eel au asupra agreg\u0103rii plachetare, cresc\u00e2nd\u00a0 riscul apari\u021biei unei hemoragii,\u00a0 \u00een special atunci c\u00e2nd sunt administrate concomitent cu medica\u021bia anticoagulant\u0103. Medicii care ofer\u0103 \u00eengrijire pacien\u021bilor cu afec\u021biuni cardiace trebuie s\u0103 fie familiariza\u021bi cu manifest\u0103rile depresiei \u0219i s\u0103-i con\u0219tientizeze pe ace\u0219tia de prezen\u021ba acestei afec\u021biuni. Acest lucru este important, deoarece depresia influen\u021beaz\u0103 in mod negativ evolu\u021bia afec\u021biunii cardiace, \u0219i de asemenea, afecteaz\u0103 toate aspectele vie\u021bii unui pacient, inclusiv familie \u0219i rela\u021biile personale, educa\u021bie, carier\u0103, activitatea \u0219i starea general\u0103 de s\u0103n\u0103tate.<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    Depresia reprezint\u0103 o problem\u0103 major\u0103 de s\u0103n\u0103tate public\u0103 la nivel mondial \u0219i o cauz\u0103 important\u0103 de morbiditate. Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS) preconizeaz\u0103 c\u0103 p\u00e2n\u0103 \u00een anul 2020 depresia va […]<\/p>\n","protected":false},"author":4,"featured_media":7637,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[77],"tags":[],"class_list":["post-7627","post","type-post","status-publish","format-standard","has-post-thumbnail","category-psihiatrie"],"yoast_head":"\nDepresia \u015fi bolile cardiovasculare - Jurmed - Medici<\/title>\n<meta name=\"description\" content=\"Depresia reprezint\u0103 o problem\u0103 major\u0103 de s\u0103n\u0103tate public\u0103 la nivel mondial \u0219i o cauz\u0103 important\u0103 de morbiditate\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/7627-2\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Depresia \u015fi bolile cardiovasculare - 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