Психические расстройства в общей медицине. №1 2018

Кардионевроз: современное состояние проблемы (обзор иностранной литературы). Часть 2

Е.Н.Матюшенко

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2 mne-84@mail.ru

Стр. 19-30

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Опубликовано: 19 июня 2018

Аннотация / Abstract

a:2:{s:4:"TEXT";s:65535:"a:2:{s:4:"TYPE";s:4:"HTML";s:4:"TEXT";s:98880:"Во второй части обзора отдельное внимание уделено коморбидности кардионевроза с психическими расстройствами и соматической патологией и их роли в персистенции кардионевротической симптоматики. Рассмотрены этиологические и предрасполагающие факторы, включая такие психологические факторы, как нейротизм, ипохондрическое поведение, алекситимия и соматизация, связанные с некардиологической болью в груди. Приведены диагностические шкалы, используемые в клинической практике, освещены аспекты дифференциальной диагностики, а также основные подходы к терапии и прогноз. Ключевые слова: кардионевроз, Синдром да Коста, функциональные нарушения сердечно-сосудистой системы, вазорегуляторная астения, боли в сердце некардиологического происхождения. Для цитирования: Матюшенко Е.Н. Кардионевроз: современное состояние проблемы (обзор иностранной литературы). Часть 2. Психические расстройства в общей медицине. 2018; 1: 19–30. Cardiac neurosis: modern state of the problem (review of foreign literature). Part 2 E.N.Matyushenko I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2 mne-84@mail.ru Special attention is paid to the comorbidity of cardioneurosis with mental disorders and somatic diseases and to their role in the persistence of cardioneurosis. The etiological and predisposing factors, including psychological factors such as neuroticism, hypochondriacal behavior, alexithymia and somatization related to noncardiac chest pain are discussed. The overview presents contemporary models and theories of development and persistence of cardioneurosis. The diagnostic scales used in clinical practice, aspects of differential diagnosis, as well as the main approaches to therapy and prognosis are provided. Key words: cardioneurosis, Da Costa's syndrome, functional cardiovascular disease,...

Во второй части обзора отдельное внимание уделено коморбидности кардионевроза с психическими расстройствами и соматической патологией и их роли в персистенции кардионевротической симптоматики. Рассмотрены этиологические и предрасполагающие факторы, включая такие психологические факторы, как нейротизм, ипохондрическое поведение, алекситимия и соматизация, связанные с некардиологической болью в груди. Приведены диагностические шкалы, используемые в клинической практике, освещены аспекты дифференциальной диагностики, а также основные подходы к терапии и прогноз. Ключевые слова: кардионевроз, Синдром да Коста, функциональные нарушения сердечно-сосудистой системы, вазорегуляторная астения, боли в сердце некардиологического происхождения. Для цитирования: Матюшенко Е.Н. Кардионевроз: современное со...

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