RELATIONSHIP BETWEEN PSYCHOEMOTIONAL DISORDERS WITH INCREASING THICKNESS OF INTIMA-MEDIA COMPLEX AND VASCULAR MICRO INFLAMMATION DEVELOPMENT
https://doi.org/10.17650/1818-8338-2011-4-17-20
Abstract
Objective — to study relationship of psycho-emotional factors and indicators of intravascular microinflammation and vascular changes in healthy patients.
Materials and methods. To study psycho-emotional status in 239 healthy patients aged 30 to 60 years, markers of inflammation (C-reactive
protein — CRP and cytokines — tumor necrosis factor-α — TNF-α, interleukins — IL-1, -4, - 8) and ultrasonography of the vascular wall of the common carotid artery with the definition of the thickness of intimamedia.
Results. In group with high levels of emotional stress significant increase in the thickness of intima media and increase in plasma concentrations
of markers of vascular mikrovospaleniya — CRP, IL-1, IL-8, TNF-α were showed. These correlation analysis indicated relationship between thickness of intima-media, psychoemotional factors and markers of vascular microinflamation. Calculating odds ratios revealed that thickening of the intima-media process such psycho-emotional disorders like anxiety, depression and fatigue are of great importance.
Conclusion. Otherwise development of latent intravascular inflammation and thickening intima-media complex of common carotid artery is registered inhealthy patients with presence of psycho-emotional disorders (depression, anxiety, fatigue).
About the Authors
A. P. ShavrinRussian Federation
B. V. Golovskoy
Russian Federation
References
1. Оганов Р.Г., Погосова Г.В., Шальнова С.А., Деев А.Д. Депрессивные расстройства в общемедицинской практике по данным исследования КОМПАС: взгляд кардиолога. Кардиология 2005;(8):34–44.
2. Speieker L.E., Hurlimann D., Ruachitzka F., et al. Mental stress induces prolonged endothelial dysfunction via endothelin-A receptors. Circulation 2002;103(24):2817–21.
3. Suarez E.C. C-reactive protein is associated with psychological risk factors of cardiovascular disease in apparently healthy adults. Psychosom Med 2004;66:684–91.
4. Rozanski A., Blumenthal J.A., Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 1999;99(2):2192–217.
5. Rosengren A., Hawken S., Ounpuu S., et al. Association of psychosocial risk factors with risk of acute myocardial infarction in 11 119 cases and 13 648 controls from 52 countries (the INTERHEART study): case-control study. Lancet 2004;364(9438):953–62.
6. Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361–70.
7. Вуколов Э.А. Основы статистического анализа. Практикум по статистическим методам и исследованию операций с использованием пакетов STATISTICA и EXCEL. М.: Форум, 2004.
8. Наследов А.Д. Математические методы психологического исследования. Анализ и интерпретация данных. СПб.: Речь, 2004.
9. Назаров П.Г. Реактанты острой фазы воспаления. СПб.: Наука, 2001.
10. Симбирцев А.С. Цитокины — новая система регуляции защитных реакций организма. Цитокины и воспаление 2002;1(1):9–16.
11. Флизер Д. Противовоспалительные эффекты блокады ангиотензиновых рецепторов I типа у пациентов с гипертензией и сосудистым микровоспалением. Кардиоваскулярная терапия и профилактика 2010;9(7):14–20.
12. Черешнев В.А., Гусев Е.Ю. Иммунология воспаления: роль цитокинов. Медицинская иммунология 2001;3(3):361–8.
13. Katz S.D., Rao R., Berman J.W., et. al. Pathophysiological correlates of increased serum tumor necrosis factor in patients with congestive heart failure. Relation to nitric oxide-dependent vasodilation in the forearm circulation. Circulation 1994;90(1):12–6.
14. De Keulenaer G.W., Alexander R.W., Ushio-Fukai M., et al. Tumor necrosis factor alpha activates a p22phox-based NADH oxidase in vascular smooth muscle. Biochem J 1998;329(Pt 3):653–7.
Review
For citations:
Shavrin A.P., Golovskoy B.V. RELATIONSHIP BETWEEN PSYCHOEMOTIONAL DISORDERS WITH INCREASING THICKNESS OF INTIMA-MEDIA COMPLEX AND VASCULAR MICRO INFLAMMATION DEVELOPMENT. The Clinician. 2011;5(4):17-20. (In Russ.) https://doi.org/10.17650/1818-8338-2011-4-17-20