AFFECTIVE DISORDERS IN WOMEN WITH ARTERIAL HYPERTENSION IN COMBINATION WITH METABOLIC SYNDROME

Purpose. To study the features of affective disorders in women with comorbid chronic ischemic heart disease with metabolic syndrome. Materials and methods. The study was performed with the participation of 160 female patients diagnosed with chronic ischemic heart disease. Metabolic syndrome verification was carried out using the clinical recommendations of the All-Russian Scientific Society of Cardiology (2009). Identification of the presence of anxiety-depressive states and assessment of their severity was carried out using The Hospital Anxiety and Depression scale. Results. The study showed that 50,9% of the surveyed women with a combination of chronic ischemic heart disease and metabolic syndrome had elevated levels of anxiety. Anxiety disorders of a subclinically pronounced nature were found in 31,1% of the surveyed in this group, and clinically pronounced in 19,6%. Elevated levels of depression were detected in 35,7% of the examined patients with metabolic syndrome. Depressive disorders, which were subclinically pronounced, were found in 18,7% of the examined in this group, and clinically pronounced in 17,0%. The most frequent cluster of metabolic syndrome in the studied group of women, both with an increased level of anxiety and with an increased level of depression, was a three-component cluster of metabolic syndrome – 47,4% and 42,5%. Conclusion. Among patients with chronic ischemic heart disease with a comorbid course with metabolic syndrome, the number of people with clinically pronounced anxiety and depression was generally higher in comparison with people without metabolic syndrome. At the same time, the number of patients with metabolic syndrome with clinically pronounced depression was twice as high – 17,0% and 8.0%. More often in both groups there was a cluster of metabolic syndrome, including a combination of hypertension with abdominal obesity and lipid disorders.