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Comorbidity of Somatoform Disorders and Cardiologic Pathology: a Clinical Observation
- Authors: Bazzaeva A.V.1, Krasnov A.A.1
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Affiliations:
- Almazov National Medical Research Centre
- Issue: No 93 (2025)
- Pages: 113-121
- Section: Консилиум
- URL: https://journal-vniispk.ru/0132-182X/article/view/292857
- DOI: https://doi.org/10.25016/2782-652X-2025-0-93-113-121
- ID: 292857
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Abstract
Relevance. Currently there is a problem of insufficiently studied interrelationships of psychiatric disorders characterized by somatoform dysfunctions of the cardiovascular system and cardiologic diseases. The aspects of mutual pathoplastic influence between mental and somatic processes remain underexplored. Consequently, there is ongoing debate regarding whether somatoform and cardiological diagnostic definitions are mutually exclusive or, in some cases, may present as pathogenetically interrelated comorbidity. This issue significantly affects the treatment strategy for such conditions.
Intention: To demonstrate the development of somatoform disorder (SFD) of the cardiovascular system in a patient during the convalescent period of acute myocardial infarction (AMI) beyond the scope of traditional clinical concepts (using the case of patient E.), as well as to objectify the unexpected relationship between truly somatic and psychosomatic diseases.
Methodology. The study utilized clinical-archival, dimensional, and clinical-catamnestic research methods.
Results and their analysis. Following AMI, various complications may arise, including those affecting mental health. One of the consequences is the emergence of neurotic-spectrum mental disorders, particularly somatoform disorders.
Conclusion. This clinical case demonstrates that persistent neurotic-spectrum mental disorders may develop after acute myocardial infarction, leading to patient maladaptation and requiring psycho-pharmacotherapeutic intervention. Interdisciplinary collaboration between cardiologists and psychotherapeutic specialists improves prognosis.
About the authors
Angela V. Bazzaeva
Almazov National Medical Research Centre
Author for correspondence.
Email: bazzaeva_av@almazovcentre.ru
ORCID iD: 0009-0008-5015-9374
PhD student and assistant, Department of Psychiatry and Psychotherapy with Clinic
Russian Federation, 2, Akkuratova Str., St. PetersburgAlexey A. Krasnov
Almazov National Medical Research Centre
Email: krasnov_aa@almazovcentre.ru
ORCID iD: 0000-0002-8732-6390
Dr. Med. Sci. Associate Prof., Prof. Department of Psychiatry and Psychotherapy with Clinic
Russian Federation, 2, Akkuratova Str., St. PetersburgReferences
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