ABSTRACT
Depression syndromes(anxiety and depression), as typical psychological disorders, often coexist with and mutually influence coronary heart disease(CHD). They constitute a psycho-cardiology disease involving both the blood vessels of the heart and the spirit of the heart. Based on the theory of "coexistence of diseases and depression syndromes", it was proposed that CHD and depression syndromes coexisted independently and were causally related. The factors of depression syndromes go through the entire course of CHD and have different causal relationships at different stages, leading to a pathogenic process of "depression causing disease" or "disease causing depression". In the chronic latent period, phlegm predominates, with depression leading to the production of phlegm. Phlegm accumulation and Qi stagnation initiate a mutual damage process of psycho-cardiology, marking the onset of the disease. In the pathological development period, blood stasis becomes predominant. Depression leads to blood stasis, which further obstructs Qi circulation, accelerating disease progression. In the acute attack period, toxicity becomes crucial. Depression transforms into toxicity, damaging Qi and blood, disturbing the balance of the mind, and inducing a sudden and severe exacerbation of the disease. Based on this, the approach of treating phlegm and depression together, treating blood stasis and depression together, and treating toxicity and depression together by stages was established. Research has found that this approach can simultaneously improve organic damage and emotional disorders, and also has a regulating effect on micro-level syndrome indicators, achieving harmonization of psycho-cardiology in the treatment.
Subject(s)
Humans , Medicine, Chinese Traditional , Depression/diagnosis , Coronary Disease/diagnosis , Mucus , Syndrome , AnxietyABSTRACT
Objective To explore the effect of psycho-cardiology treatment on major cardiac events (MACE) incidence in patients after percutaneous coronary intervention (PCI).Methods From November 2014 to November 2015,200 patients with coronary artery intervention were randomly divided into cardiology treatment group (100 cases) and psycho-cardiology group (100 cases).The psycho-cardiology treatment group was conducted to strengthen the psychological counseling and coronary heart disease and the intervention of common sense education and daily reasonable way of life education for 3 months.The scores of psychological assessment were compared between the two groups after 1 year.The patients of the two groups were followed up for 1 year at the same time.The clinical treatment of hypochondriasis rate and MACE incidence rate were observed in the two groups.Results 3 months after PCI,psycho-cardiology treatment group was treated with psychological counseling and coronary heart disease.The psychological assessment score was significantly lower than that in the control group.At 3 months,the HAMD scores of the control group and the psycho-cardiology group were (23.31 ± 5.91) points,(12.40 ± 3.95) points,there was significant difference between the two groups (t =6.235,P ＜ 0.05).At 3 months,the HAMA scores of the control group and the psycho-cardiology group were (22.29 ± 3.93) points,(12.44 ± 4.13) points,there was significant difference between the two groups (t =7.478,P ＜ 0.05),which were significantly decreased compared to admission.Postoperative follow up of 1 year,the clinical medical hypochondriasis rate of psycho-cardiology treatment group was significantly lower than that of cardiology treatment group.The incidence rate of MACE was significantly lower than that of the control group.Conclusion Mental intervention,coronary heart disease and PCI knowledge education can effectively reduce the negative emotion of patients with coronary heart disease after interventional therapy.The incidence of MACE after PCI operation was significantly lower.
ABSTRACT
Obiective To explore the application of psycho-cardiology in patients with chronic heart failture compli-cated with depressive disorder. Methods Hospitalized patients with chronic heart failture were assessed with PHQ-9 and PHQ-2 health questionnaire. A total of 80 patients with depressive disorder were selected and randomly divided into routine treatment group (n=40, received routine medication) and intervention group (n=40, application of psycho-cardiology based on routine medication). After three months, changes of scores before and after therapy were statistically analyzed in these two groups. Results Compared with routine treatment group, total scores of PHQ-9 significantly decreased in intervention group (P＜0.01). LVEF, BNP and CRP improved in both groups after intervention (P＜0.05), which were more prominent in intervention group compared with routine treatment group (P ＜ 0.05). Conclusion Psycho-cardiology can treat chronic heart faiture and solve psychological problems of patients and provide comprehensive rehabilitation to patients.