russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLCrussjcardiol-1259Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWВЗАИМОСВЯЗЬ ДЕПРЕССИИ И ЭРЕКТИЛЬНОЙ ДИСФУНКЦИИ У КАРДИОЛОГИЧЕСКИХ БОЛЬНЫХASSOCIATION OF DEPRESSION AND ERECTILE DYSFUNCTION IN CARDIAC PATIENTSПомешкинаС. А.PomeshkinaS. A.

заведующая лабораторией реабилитации

Pomesa@cardio.kem.ruФГБУ Научно-исследовательский институт комплексных проблем сердечнососудистых заболеваний СО РАМН, КемеровоРоссияResearch Institute of Complex Cardiovascular Problems, Siberian Branch, Russian Academy of Medical Sciences, KemerovoRussian Federation20122808201204100103Copyright © Помешкина С.А., 20122012Помешкина С.А.Pomeshkina S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/1259

Существуют комплексные многофакторные взаимосвязи между депрессией, ишемической болезнью сердца (ИБС) и эректильной дисфункцией (ЭрД). Депрессия считается независимым фактором риска развития ИБС, а также значимым предиктором более высокого уровня смертности и осложнений у пациентов с клиникой ИБС. Распространённость ЭрД у больных ИБС по разным данным составляет от 44 до 75%. Психологический фактор в той или иной степени имеется в подавляющем большинстве случаев ЭрД, вызванной структурными нарушениями. Причинно-следственная взаимосвязь между ЭрД и депрессией может выражаться в разных формах. ЭрД может быть симптомом депрессии. С другой стороны, депрессия может быть вторичной по отношению к ЭрД, и улучшение эректильной функции может ассоциироваться с ослаблением симптомов депрессии. ИБС, эректильная дисфункция и депрессия имеют ряд общих факторов риска, включая возраст, артериальную гипертензию, сахарный диабет, дислипидемию, ожирение, гиподинамию и курение, кроме того, эти состояния чаще всего коморбидны. Таким образом, сердечно-сосудистые заболевания, эректильная дисфункция и депрессия – звенья одной цепи, усугубляющие течение друг друга.

 

There are complex multifactorial associations between depression, coronary heart disease (CHD), and erectile dysfunction (ED). Depression is considered as an independent risk factor of CHD, as well as a strong predictor of higher risk of mortality and complications in CHD patients. The reported prevalence of ED among CHD patients ranges from 44% to 75%. In most cases of structural ED, a psychological component is also present. The manifestations of the cause-effect relationship between ED and depression could vary: ED might be a symptom of depression, while depression could also be caused by ED, and the improvement in erectile function can reduce the severity of depressive symptoms. CHD, depression, and ED have common risk factors, such as age, arterial hypertension, diabetes mellitus, dyslipidemia, obesity, low physical activity, and smoking. Moreover, these diseases often coexist. Therefore, cardiovascular disease, ED, and depression belong to the same pathophysiological pathway and affect the clinical course of each other.

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The authors declare that there are no conflicts of interest present.