Yeni Tanılı, Genç Hipertansif Hastalarda Depresyon- Anksiyete Yatkınlığının Hipertansiyonla İlişkisi

Amaç: Hipertansiyon (HT) başta kardiyovasküler hastalıklar olmak üzere, serebrovasküler, renal ve çeşitli vasküler hastalıklar için çok önemli bir risk faktörüdür. Erişkin dünya nüfusunun neredeyse 1/3 nde görülmektedir ve insidansı giderek artmaktadır. HT nun %95 i esansiyeldir ve etiyolojide çok çeşitli nedenler üzerinde durulmaktadır. Depresyon başta olmak üzere psikolojik stres yapan durumlar; aralarındaki ilişki net olmamakla beraber HT için risk faktörü olarak görülmüştür. Özellikle genç hastalarda; uzun süre HT ile beraber yaşayacakları için, erken tanı ve tedavi önemlidir. Tedavide predispozan faktörler de dikkate alınmalıdır. Gençlerde sempatik aktivite artışına denen olan anksiyete ve depresyon HT için bir tetikleyici olabilir. Bu çalışmada, yeni tanılı genç hipertansif hastalarda, depresyon- anksiyete yatkınlığını araştırmak istedik. Çıkacak sonuca göre HT tedavisinde yeni önerilerde bulunabileceğimizi düşündük. Gereç ve Yöntemler: Çalışmaya yeni HT tanısı almış 45 yaş altı 175 hasta ile 45 yaş altı herhangi bir sağlık sorunu olmayan 125 kişi kontrol grubu olarak alındı. Sekonder nedenli HT tanısı olanlar ve koroner arter hastalığı (KAH), diabetes mellitus (DM),kronik renal yetmezlik (KRY), konjestif kalp yetmezliği (KKY) kronik hastalığı olanlar çalışmadan dışlandı. Herkese rutin laboratuvar testleri yapıldı. Hastane Depresyon Anksiyete Skalası (HDAS) ile test yapıldı. Bu testte hem anksiyete hem de depresyon için; 0-7 puan arası normal, 8-10 puan arası sınırda, 11 puanın üstü ise anormal olarak kabul edildi. Bulgular: Sonuçlar değerlendirildiğinde , yaş, cinsiyet, rutin biyokimyasal testlerde , gruplar arasında fark yoktu. HT grubunda hem depresyon hem de anksiyete skalası anlamlı olarak yüksek bulundu. Genç hipertansif hastalarda HT ile depresyon- anksiyetenin sıklıkla birlikte olduğu görüldü. Sonuç: Bu durumda, yen HT tanısı koyduğumuz genç hastaların psikolojik stres durumlarını mutlaka irdelememiz gerekir. Yüksek oranda depresyon ve anksiyete düşündüğümüz hastaları psikolojik destek ve tedavi için yönlendirmemiz uygun olur. Psikolojik sorunlar tedavi edilince belki de antihipertansif tedavi gerekmeden HT düzelebilir. Böylece HT tedavisinde yeni yaklaşımlar geliştirebiliriz

Anahtar Kelimeler:

Gençlerde hipertansiyon, depresyon, anksiyete

The Relationship Of Depression-Anxiety Inspection And Hypertension In Newly Diagnosed Young Hypertensive Patients

Aim: Hypertension (HT) is a very important risk factor for cerebrovascular, renal and various vascular diseases, especially cardiovascular diseases. It is seen in almost 1/3 of the adult world population and its incidence is gradually increasing. 95% of HT is essential and various reasons are emphasized in the etiology. Conditions that cause psychological stress, especially depression; Although the relationship between them is not clear, it was seen as a risk factor for HT. Because they will live with HT for a long time, early diagnosis and treatment is important, especially in young patients. Predisposing factors should also be taken into account in treatment. Anxiety and depression, which are called increased sympathetic activity in young people, can be a trigger for HT. In this study, we wanted to investigate the susceptibility to depressionanxiety in newly diagnosed young hypertensive patients. According to the result, we thought that we could make new recommendations in the treatment of HT. Materials and Methods: 175 patients under the age of 45 with newly diagnosed HT and 125 individuals under 45 without any health problems were included in the study. Those diagnosed with HT with secondary reasons and those with chronic diseases such as coronary artery disease (CAD), diabetes mellitus (DM), chronic renal failure (CRF), congestive heart failure (CHF) were excluded from the study. Testing was performed with the Hospital Depression Anxiety Scale (HDAS). In this test for both anxiety and depression; 0-7 points were considered normal, 8-10 points were considered borderline, and over 11 points were considered abnormal. Results: When the results were evaluated, there was no difference between the groups in terms of age, gender, and routine biochemical tests. Both depression and anxiety scales were found to be significantly higher in the HT group. In young hypertensive patients, we have seen that HT and depression-anxiety frequently coexist. Conclusion: In this case, we should definitely examine the psychological stress states of young patients we diagnosed with HT. It would be appropriate to refer patients who we think may have depression and anxiety for psychological support and treatment. When psychological problems are treated, HT may improve without the need for antihypertensive treatment. Thus, we can develop new approaches in HT treatment.

Keywords:

young people hypertension, depression, anxiety,

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