Cardio Psyche-Neurology. Neuropsychic disorders and cardiovascular risk factors: gender differences and prognostic perspectives. An observational survey experience in real medical practice

Abstract Introductions Stress effects appears in society with psychosomatic and physiopathological implications and symptoms involving the cardiovascular sphere. The anxiety and depression tract are recognized as independent cardiovascular risk factors. How much the clinical manifestations accidents in the cardiovascular health and diagnostic therapeutic paths has not been well defined in the clinical reality, although the cardiologist is more often the first person called to answer these clinical necessities. Purpose This study is a real life report of the neuropsychological implications and therapeutic cardiac pathways in the clinical relationship. Methods Cardiology outpatient analysis in patients (pts) without major cardiovascular events in the history. Analysis and verification of risk factors, cardiovascular diagnosis, anamnestic and clinical presence of anxious depressive tract stress and frank depressive psychosis. ECG assessments, heart rate therapies. Observational period from 2010 to early 2022. 5.800 pts observed. Results Were analysed 2.500 pts in primary evaluations (without major cardiovascular event) - male 1000 (40%), female 1500 (60%). Risk factors: hypertension 1.650 (65%) - m. 830 (50%), f. 850 (50%), dyslipidemia: 1.150 (45%) - m. 400 (35%), f. 750 (65%), diabetes 500 (20%), m. 300 (60%) - f. 200 (40%), anxiety syndrome/depression (ADS) 1.500 (60%) - m. 450 (30%), f. 1.150 (70%), depressive psychosis 200 (8%) - m. 95 (48%), f. 105 (52%), smoking 500 (20%) - m. 215 (43%), f. 285 (57%), sedentary lifestyle 1.350 (54%) - m. 405 (30 %), f. 945 (70%). The Average Heart Rate (AHR) detected is 85 bpm. 75 bpm media for male, 90 media for female. 1.100 (70%) of the pts, with Small Artery Disease (SAD), correlates with the presence of hypertension. 1.300 pts (87%) has symptoms of cardiopalmus / hypertension / tachycardias / tachyarrhythmias (TSV) - female 1050 (80%) versus male 250 (20%). In 200 (15%) associated with supraventricular tachyarrhythmia (T35): 165 female (83%) versus male 35(17%). Theraphies: Antihypertensive in 60% (900 pts) with SAD, m. 650 (70%), f. 250 (30%). Only 200 pts (12%), among which 65 with SAD, taked anxiolytic or antidepressive therapy. Conclusion Stress and SAD have clinical and cardiological relevance in cardiovascular health with implications in diagnostic and therapeutic appropriateness, quality of life and in the cardiovascular prognosis. The woman has higher cardioneuropsycological incidence regardless fertile or menopausal period and less cardiovascular therapeutic adherence.