摘要
冠状动脉性心脏病(冠心病)是临床最为常见的心血管疾病之一,严重威胁我国人民心身健康,为我国重要的疾病负担。双心医学关注精神心理因素在心血管疾病发病及诊治中的重要作用。冠心病患者抑郁焦虑发生率较高,且抑郁、焦虑、精神压力诱发心肌缺血,并与认知功能障碍、谵妄的发生有密切关系。认知功能障碍、谵妄将严重影响冠心病患者的预后,亟需高度关注并积极干预。为正确、积极干预冠心病合并抑郁焦虑患者的认知功能障碍,改善冠心病患者的预后,由中华医学会北京分会心脏心理医学分会、中国医药教育协会双心(心脏心理)教育专业委员会联合国内40余家单位,及50余名来自多个相关专业领域的专家,在中国标准化协会框架下制定了"冠心病合并抑郁焦虑的认知临床诊疗指南"的团体标准(编号:T/CAS 812—2024)。
Coronary artery disease(CAD),one of the most common cardiovascular diseases(CVD),poses a serious threat to physical and mental health,resulting in a severe disease burden.Psychocardiology medicine focuses on the vital role of psychological factors in the development,diagnosis,and treatment of CVD.The prevalence of depression and anxiety is high in patients with CAD.Furthermore,there is a vital interplay among depression,anxiety,mental stress-induced myocardial ischemia,cognitive impairment,and delirium.Both cognitive impairment and delirium adversely impact the prognosis of patients with CAD,warranting increasing attention and the development of interventions.To further direct the clinic diagnosis and treatment of cognitive impairment in patients with CAD complicated with depression and anxiety,and to thus improve the prognosis of such patients,the Psychocardiology Medicine Branch of Chinese Medical Association Beijing Branch,and Psychocardiology Education Professional Committee of China Medical Education Association,together with over 40 other organizations,including more than 50 experts from several related fields,have developed the association standards on guidelines for the cognitive clinical diagnosis and treatment of CAD complicated with depression and anxiety under the framework of the China standard association(No.T/CAS 812—2024).
作者
中华医学会北京分会心脏心理医学分会
中国医药教育协会双心(心脏心理)教育专业委员会
刘梅颜
谭学瑞
岳伟
Psychocardiology Medicine Branch of Chinese Medical Association Beijing Branch;Psychocardiology Education Professional Committee of China Medical Education Association Liu Meiyan Tan Xuerui;Liu Meiyan;Tan Xuerui;Yue Wei(不详;Psychocardiology Department of Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Cardiology Department of First Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Neurology Department of Tianjin Huanhu Hospital,Tianjin 300350,China)
出处
《中华内科杂志》
北大核心
2025年第9期825-830,共6页
Chinese Journal of Internal Medicine
关键词
冠心病
抑郁
焦虑
认知障碍
Coronary disease
Depression
Anxiety
Cognition disorders
