Video Experimental Relacionado
Updated: Sep 10, 2025
06:55
An Unpredictable Chronic Mild Stress Protocol for Instigating Depressive Symptoms, Behavioral Changes and Negative Health Outcomes in Rodents
Published on: December 2, 2015
22.7K
Multimorbilidad psiquiátrica en la insuficiencia cardíaca
Kenneth E Freedland1, Judith A Skala1, Brian C Steinmeyer1
1Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Journal of psychosomatic research
|August 27, 2025
Resumen
La multimorbilidad psiquiátrica es común en los pacientes con insuficiencia cardíaca, afectando al 36% de los estudiados. Esta condición está relacionada con los determinantes sociales de la salud, el aumento del estrés y otros problemas de salud.
Área de la Ciencia:
- Cardiología
- La psiquiatría
- Salud pública
Sus antecedentes:
- Se estudian afecciones psiquiátricas específicas en pacientes con enfermedades cardíacas, pero la multimorbilidad psiquiátrica es menos comprendida.
- La multimorbilidad psiquiátrica, la ocurrencia simultánea de múltiples trastornos de salud mental, requiere una investigación adicional en poblaciones cardiovasculares.
Objetivo del estudio:
- Determinar la prevalencia de la multimorbilidad psiquiátrica en pacientes con insuficiencia cardíaca.
- Identificar los factores asociados con la multimorbilidad psiquiátrica en pacientes con HF.
Principales métodos:
- Un estudio transversal en el que participaron 362 pacientes hospitalizados con insuficiencia cardíaca dentro de los 30 días posteriores al alta.
- Utilizó la entrevista de diagnóstico NetSCID-5, la entrevista de determinantes sociales de la salud (SDOH) y cuestionarios para el estrés percibido y la calidad de vida.
Principales resultados:
- El 36% de los pacientes (130/362) tenía antecedentes de dos o más trastornos psiquiátricos.
- Los recuentos más altos de comorbilidad psiquiátrica se correlacionan con una edad más joven, una mayor exposición a SDOH, un estrés percibido elevado y una enfermedad pulmonar obstructiva crónica.
Conclusiones:
- La multimorbilidad psiquiátrica es prevalente en pacientes con insuficiencia cardíaca y está relacionada con peores resultados médicos y de salud social.
- Las futuras investigaciones sobre las comorbilidades cardiovasculares deben considerar la multimorbilidad, y son necesarios estudios específicos sobre la multimorbilidad psiquiátrica.
Palabras clave:
ComorbilidadInsuficiencia cardíacaTrastornos mentalesMultimorbilidadPsicológicoCalidad de vidaDeterminantes sociales de la saludEl estrésMás Videos Relacionados
04:59Heat-sensitive Moxibustion as a Traditional Chinese Medicine Therapy for Chronic Obstructive Pulmonary Disease Combined with Insomnia
Published on: May 30, 2025
502
04:33Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
791
Videos de Conceptos Relacionados
01:17Pathophysiology of Heart Failure
1.8K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.8K
01:26Heart Failure III: Clinical Manifestations
42
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
42
01:29Heart Failure II: Pathophysiology
37
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
37
01:27Heart Failure I: Introduction
52
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
52
01:29Cardiomyopathy V: Interprofessional Care
32
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
32
01:30Heart Failure IV: Classification and Diagnostic Evaluation
32
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
32