抑郁症是一种与情绪障碍有关的精神性疾病,与冠心病关系十分密切。越来越多的研究表明,抑郁症是冠心病发生、发展和预后的危险因素之一。冠心病患者中抑郁症的患病率高于普通人群,合并抑郁的冠心病患者,心血管疾病并发症或病死率高于非抑郁冠心病患者。现就近些年抑郁在冠心病患者中的流行病学、发病机制和治疗3个方面的最新研究进行综述。 Depression is a mental disorder associated with emotional disorders, and coronary heart disease are closely related. More and more studies have shown that depression is one of the risk factors for the occurrence, development and prognosis of coronary heart disease. The prevalence of depression in CHD patients is higher than in the general population. CHD patients with depression, cardiovascular complications or mortality are higher than those in non-depressed CHD patients. Now in recent years, depression in patients with coronary heart disease epidemiology, pathogenesis and treatment of three aspects of the latest research are reviewed.