PSYCHOEMOTIONAL STATUS IN PATIENTS WITH CHRONICHEART FAILURE. LITERATURE REVIEW.

Abstract

Abstract. Psychoemotional disorders are often risk factors for adverse outcomes in patients with chronic heart failure
(CHF). 50% of patients with CHF and 90% of all deaths from CHF occur in adults over 70 years of age who are concerned about various psychoemotional disorders. The purpose of study is to analyze the available literature of psycho-emotional
status in patients with chronic heart failure.
Search strategy. We reviewed studies, systematic reviews (SR) and meta-analyses (MA) published in electronic
databases (Web of Science, Scopus and PubMed) the most significant publications, of the last few years, in addition, the
work includes isolated important reviews and articles of previous years. In total, 354 articles were found when searching
databases. After careful selection and exclusion of some of them, 82 articles in English entered the next stage. Inclusion
criteria: questions on chronic heart failure, stress, emotions, anger, anxiety, sleep disturbance, cognitive impairment and
depression. Exclusion criteria: recurring articles, articles without evidence base, with fuzzy conclusions, articles published
earlier than 2017 and not responding to search queries.
Results and Discussion. CHF is a syndrome caused by a structural and/or functional cardiac abnormality resulting in
decreased cardiac output and/or increased intracardiac pressure at rest or stress. CHF is characterized not only by changes
in cardiac function, but also by psychosocial factors, such as depression, stress and anger, also prospectively associated
with adverse CHF outcomes, including hospitalization and/or death. Treatment methods primarily depend on the functional
class of CHF.
Conclusions. The current lack of data regarding psychological factors in the etiology and treatment of chronic heart
failure suggests that psychological factors are ignored in this condition. Further studies would clarify the true picture of the
general psychological state of patients and, if difficulties were identified, would allow the development of a standardized
methodology for assessing and treating these difficulties.