Role of anxiety disorders in patients with cardiovascular pathology who experienced COVID-19

E.V. Filippov

Ryazan State Medical University, Ryazan

Circulatory system diseases (CSD) are one of the most common causes of fatal outcomes in the Russian Federation. The article presents a study overview that examined the association between anxiety and adverse outcomes (AO) (including cardiovascular outcomes and all-cause mortality) in patients. In a recent large meta-analysis, it was found that there may be an association of anxiety with various AO (cardiovascular mortality, stroke, heart failure). The author considers the pathogenetic mechanisms of AO in patients with anxiety, which are based on two components: biological and behavioral. The biological component depends on the severity of anxiety and depression. Besides, it is a trigger for the development of «new» negative emotions and chronic stress. The article also discusses the anxiety role in patients who experienced COVID-19, as well as autonomic disorders associated with the post-covid syndrome. The author present s his clinical case concerning the development of post-covid syndrome, accompanied by increased anxiety and vegetative symptoms, and describes its therapy in a patient who suffered from long-term arterial hypertension.

Keywords: anxiety, circulatory system diseases, postural orthostatic tachycardia syndrome, sinus tachycardia, COVID-19, mortality.

For citation: Filippov E.V. Role of anxiety disorders in patients with cardiovascular pathology who experienced COVID-19. RMJ. 2021;9:31–34.