创伤后应激障碍 (PTSD) 与心血管疾病联系的机制和临床影响
Abubakar I Sidik1, Vladislav V Dontsov2, Mikhail G Ruchkin3
1Department of Cardiovascular Surgery, Peoples' Friendship University of Russia, Moscow, RUS.
Cureus
|January 30, 2026
概括
创伤后应激障碍 (PTSD) 通过生物和行为因素显著增加心血管疾病的风险. 早期查和综合护理对于管理这种联系和改善患者结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 创伤后应激障碍 (PTSD) 越来越多地与心血管疾病和死亡率有关.
- 了解连接PTSD和心血管疾病 (CVD) 的机制对于临床实践至关重要.
研究的目的:
- 审查与PTSD和CVD相关联的生物,行为和临床机制的证据.
- 要突出临床影响查,预防和管理心血管疾病在PTSD患者.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Google Scholar) 中进行系统的文献搜索.
- 包括临床研究,评论,元分析和实验研究 (1990-2025年).
- 专注于与PTSD,心血管疾病,自主功能障碍,炎症和创伤相关的术语.
主要成果:
- 创伤后应激障碍与更高的高血压,冠状动脉疾病,中风和心血管死亡率有关.
- 生物途径包括交感激活,炎症和内皮功能障碍.
- 吸烟和睡眠不足等行为因素加剧了PTSD患者心血管疾病的风险.
- 心理治疗和运动等干预措施可以改善心血管参数.
结论:
- 创伤后应激障碍是一个显著的,可修改的心血管风险因素.
- 建议在PTSD患者中进行常规心血管疾病风险评估,并在心脏环境中进行PTSD查.
- 综合,创伤信息化的护理模式对于减少长期心血管疾病发病率至关重要.
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