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慢性心力衰竭是心脏充盈或射血功能受损的一种临床综合征，是多种心脏基础疾病的终末阶段，研究显示慢性心力衰竭患者中精神心理障碍发病率高，慢性心力衰竭中合并焦虑、抑郁、惊恐等心理障碍的患者称“双心”患者，为了管理这部分患者，现代医学强调在治疗心脏器质性疾病的同时重视患者的心理问题，通过药物或非药物方式实现“双心”同治，“双心”共治，最终提高患者的生存质量。随着双心医学的不断发展，一些新的临床问题也日益凸显，现对慢性心力衰竭合并焦虑抑郁障碍关于“双心”诊治的研究背景、治疗方法以及当前挑战等做一综述。“,”Chronic heart failure( CHF) is a complex clinical syndrome,which is characterized by dysfunction in ventricular contraction and diastolization and it is the terminal stage of various heart diseases.Recent studies have found that the incidence of mental disorders is high in patients with chronic heart failure.Psycho-cardiology patients describes patients with anxiety,depression,panic and other mental dis-orders with CHF.Modern medicine emphasizes on the psychological problems in the process of diagnosis and treatment of CHF.Using both pharmacal and nonpharmacologic therapies can improve the quality of life for psycho-cardiology patients.With the development of psycho-car-diology,some new clinical problems have become increasingly prominent.This article reviews the background,treatment and current challen-ges of psycho-cardiology.