创伤后应激障碍与心血管疾病  

Post-traumatic stress disorder and cardiovascular diseases

作　　者：王天潇[1] 宗刚军[1] 

机构地区：[1]中国人民解放军第101医院心血管内科,江苏无锡214044

出　　处：《心脏杂志》2013年第5期613-615,共3页Chinese Heart Journal

摘　　要：创伤后应激障碍(post-traumatic stress disorder,PTSD)普遍存在于经历过重大身体和心理创伤的普通人群以及退伍或现役军人中。目前临床及流行病学研究已经证实,PTSD可增加高血压病、高血脂、肥胖和心血管疾病的患病风险。PTSD主要的作用机制是,交感肾上腺轴兴奋导致儿茶酚胺分泌增加,进而影响心脏、血管和血小板的功能,增加心血管疾病的发生。本文主要综述PTSD与高血压病和其他心血管病危险因素之间的联系,并阐述PTSD与心血管疾病之间的关系。Post-traumatic stress disorder （PTSD） is general among populations of veterans and military personnel in active service as well as those who have experienced great physical and psychological trauma. Clinical and epidemiological studies have confirmed that the prevalence of PTSD will increase the risk of hypertension, high cholesterol, obesity and cardiovascular diseases. The main mechanism of PTSD is as follows ： the sympathetic adrenal axis excitement leads to an increase of catecholamine secretion, thereby affecting the functions of the heart, blood vessels and platelets, and increases the incidence of cardiovas- cular diseases. This article reviews the connection between PTSD and risk factors for hypertension as well as other cardiovascular diseases. It also elaborates the relationship between PTSD and cardiovascular diseases.

关 键 词：创伤后应激障碍 心血管疾病 普通人群 军人 

分 类 号：R54[医药卫生—心血管疾病]