焦虑抑郁与冠状动脉慢血流相关性的研究进展

The Research Progress on Relationship Between Anxiety,Depression and Coronary Slow Flow

随着冠脉造影的普及,冠状动脉慢血流现象逐渐被心血管医生所熟知。但目前国内外对慢血流产生的原因及发病机制尚处于研究中,治疗上亦无确切有效的手段。随着医学模式向"生物心理社会"模式的转变以及"双心医学"的提出,精神心理因素对心血管疾病的影响开始受到越来越多的重视。已有不少研究表明,心境障碍尤其是焦虑抑郁在慢血流的发生发展中起着重要作用,其贯穿于疾病的治疗、转归和预后整个过程,需引起临床医生的高度重视。

With the popularity of coronary angiography, coronary slow flow is becoming gradually known to cardiovascular doctors. But at present, the cause and pathogenesis of coronary slow flow are still under study, and there is no definite and effective method for treatment. With the medical model transforming to"bio-psycho-social" model and the proposal of "psycho -cardiology", the influence of psycho-social factors on cardiovascular disease has begun to receive more and more attentions. Many studies have suggested that mood disorders, especially anxiety and depression, play an important role in the occurrence and development of coronary slow flow, running through the entire process of treatment, outcome and prognosis,which clinicians must attach importance.