PSYCHOSOMATIC DISORDERS IN PATIENTS WITH CHRONIC CARDIAC INSUFFICIENCY AND ATRIAL FIBRILLATION

Usmonova N. A.* and Alimova D. ?.

ABSTRACT

Patients with AF, regardless of age, periodically complain of palpitations, decreased tolerance for physical loads, shortness of breath, dizziness, and other symptoms that affect the tolerance of the disease [Vologdina]. AF plays an important role in the formation of anxiety-depressive disorders (ADD) in patients.[3,7] In turn, the ADD have a negative impact on the course of AF, its complications, reduce the effectiveness of therapy, and worsen the prognosis as a consequence (11,12). In particular, according to Belyalov F.I., ADD is associated with an 8,6-fold increase in the risk of AF recurrence after successful restoration of sinus rhythm.[4] The mechanisms of the effect of ADD on the prognosis of AF are obviously associated with two vectors: with a decrease in adherence to treatment from one side, and due to concomitant biochemical and neurohumoral changes from another.[1,2]

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