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首页> 外文期刊>European psychiatry: the journal of the Association of European Psychiatrists >Cardiovascular disease and diabetes in people with severe mental illness position statement from the European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC).
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Cardiovascular disease and diabetes in people with severe mental illness position statement from the European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC).

机译：欧洲精神病学会（EPA），欧洲糖尿病研究协会（EASD）和欧洲心脏病学会（ESC）支持的重度精神疾病患者的心血管疾病和糖尿病立场声明。

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摘要

People with severe mental illnesses, such as schizophrenia, depression or bipolar disorder, have worse physical health and reduced life expectancy compared to the general population. The excess cardiovascular mortality associated with schizophrenia and bipolar disorder is attributed in part to an increased risk of the modifiable coronary heart disease risk factors; obesity, smoking, diabetes, hypertension and dyslipidaemia. Antipsychotic medication and possibly other psychotropic medication like antidepressants can induce weight gain or worsen other metabolic cardiovascular risk factors. Patients may have limited access to general healthcare with less opportunity for cardiovascular risk screening and prevention than would be expected in a non-psychiatric population. The European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC) published this statement with the aim of improving the care of patients suffering from severe mental illness. The intention is to initiate cooperation and shared care between the different healthcare professionals and to increase the awareness of psychiatrists and primary care physicians caring for patients with severe mental illness to screen and treat cardiovascular risk factors and diabetes.
机译：与一般人群相比，患有严重精神疾病（例如精神分裂症，抑郁症或躁郁症）的人的身体健康状况较差，预期寿命缩短。与精神分裂症和双相情感障碍有关的过度心血管死亡率部分归因于可改变的冠心病危险因素的风险增加;肥胖，吸烟，糖尿病，高血压和血脂异常。抗精神病药以及可能的其他抗精神病药（如抗抑郁药）可能会导致体重增加或加重其他代谢性心血管危险因素。与非精神病患者相比，患者获得一般医疗保健的机会有限，心血管风险筛查和预防的机会较少。在欧洲糖尿病研究协会（EASD）和欧洲心脏病学会（ESC）的支持下，欧洲精神病学协会（EPA）发表了这一声明，旨在改善患有严重精神疾病的患者的护理。目的是在不同医护人员之间开展合作和共享护理，并提高精神病医生和初级保健医生对严重精神疾病患者的意识，以筛查和治疗心血管危险因素和糖尿病。

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