ГБОУ ВПО Красноярский государственный медицинский университет имени проф. В. Ф. Войно-Ясенецкого Министерства здравоохранения РФ, ректор-д. м. н., проф. И. П. Артюхов; кафедра поликлинической терапии, семейной медицины и ЗОЖ с курсом ПО, зав.-д. м. н., проф. М. М. Петрова; кафедра физиологии им. проф. А. Т. Пшоника, зав.-д. м. н., проф. А. А. Савченко; 2 ФГБНУ НИИ медицинских проблем Севера, и.о. директора-д.м.н., проф. С.В. Смирнова; лаборатория молекулярно-клеточной физиологии и патологии, зав.-д.м.н., проф. А.А. Савченко. p%'>,%. Статья посвящена проблеме коморбидности острого инфаркта миокарда (ОИМ) и расстройств аффективного спектра. Представлен обзор последних крупных исследований по влиянию депрессии на ОИМ, механизмах взаимосвязи депрессии и ОИМ и влияние сопутствующих депрессивных расстройств на клиническое течение и прогноз больных ОИМ. j+>7%";% 1+." : острый инфаркт миокарда, тревожно-депрессивные расстройства.
Anxiety–depressive disorders (ADD) are a risk factor of cardiovascular mortality in patients with coronary artery disease (CAD). Acute coronary syndrome (ACS) is the main clinical manifestation of a progressing CAD. Metabolic processes disorder in platelets can be one of the causes of cardiovascular complications in patients with ACS and concomitant ADD. We studied platelets metabolism and prognostic informativity of NAD(P)-dependent dehydrogenases of platelets in ACS patients with ADD in terms of forecasting cardiovascular complications development over a year of observation. The levels of NAD- and NADP-dependent dehydrogenases of platelets were determined by means of a bioluminescent method during the first 24 h after admission to hospital and in dynamics in 10 days. Among 315 examined patients, ADD was found in 161 (51.1%). ACS patients with concomitant ADD had both cytoplasmic and mitochondrial processes impairment in platelets that consisted in a decrease of energy metabolism intensity, inhibition of anaerobic glycolysis reactions and lipid catabolism. After 12 months of follow-up, 41 (25.5%) cardiovascular complications were detected in the group of ACS patients with ADD and 20 (13.0%) in the group of ACS patients without ADD. According to the results of the analysis of the neural network based on NAD(P)-dependent dehydrogenases of platelets activity in ACS patients with ADD, indicators were obtained that are informative for predicting the development of recurrent cardiovascular complications.
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