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Cardiopsychology as an important component of the rehabilitation of patients after cardiac surgery

Authors: Kurilovich A.N., Tuzova Iodo A.A., Dzhitava T.G., Filaretova O.V., Shormanova A.G., Klimchuk I.Ya.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Reviews


DOI: https://doi.org/10.24022/1997-3187-2025-19-3-296-304

For citation: Kurilovich A.N., Tuzova Iodo A.A., Dzhitava T.G., Filaretova O.V., Shormanova A.G., Klimchuk I.Ya. Cardiopsychology as an important component of the rehabilitation of patients after cardiac surgery. Creative Cardiology. 2025; 19 (3): 296–304 (in Russ.). DOI: 10.24022/1997-3187-2025-19-3-296-304

Received / Accepted:  10.06.2025 / 20.08.2025

Keywords: cardiopsychology rehabilitation after cardiac surgery emotional stress depression anxiety multidisciplinary team psychological support quality of life treatment adherence cognitive impairment



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Abstract

This review article focuses on the role of cardiopsychology as a key component in the rehabilitation of patients after cardiac surgery. It examines the importance of psychological support at various stages of treatment, including preoperative preparation, rehabilitation, and hospital discharge. An analysis of current data on the impact of anxiety, depression, and cognitive impairments on cardiac surgery outcomes is presented. The literature search was conducted using databases such as PubMed, the Cochrane Library, Scopus, and the Russian Science Citation Index (RSCI), employing keywords including: cardiac surgery, cardiac rehabilitation, psychocardiology, psychological interventions, and emotional distress after heart surgery. The review included articles published mainly within the last five years, as well as landmark studies that have shaped approaches to multidisciplinary rehabilitation. The findings emphasize the importance of integrating psychological interventions into standard rehabilitation programs to enhance treatment adherence, quality of life, and clinical outcomes in patients undergoing cardiac surgery.

References

  1. Pelekh D.M., Nikitina T.G., Filippkina T.Yu., Golukhova E.Z. Predictor of the results of surgical treatment of heart valve defects in elderly and old patients based on their psychofunctional status (state of the issue for 2022). Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2022; 64 (5): 440–451 (in Russ.). DOI: 10.24022/0236-2791-2022-64-5-440-451
  2. Golukhova E.Z. Report on the scientific and clinical activity of Bakoulev National Medical Research Center for Cardiovascular Surgery for 2023 and development prospects. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2024; 25 (Special Issue) (in Russ.). DOI: 10.24022/1810-0694-2024-25S
  3. Pelekh D.M., Nikitina T.G., Gulyan K.S., Filippkina T.Yu., Golukhova E.Z. Assesment of quality of life in the medium-long terms after the correction of valvular heart disease in old-aged patients. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2023; 24 (1): 41–49 (in Russ.). DOI: 10.24022/1810-0694-2023-24-1-41-49
  4. Boсkeria O.L., Shvarts V.A., Sokol'skaya M.A., Satyukova A.S. The factors influencing the satisfaction with the treatment of cardiosurgical patients. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2019; 20 (6): 484–490 (in Russ.). DOI: 10.24022/1810-0694-2019-20-6-484-490
  5. Xu W., Fang L., Bai H., Ke K., Li W., Huang H., Liang X., Chen C. The influence of psychological factors on coronary heart disease: a review of the evidence and implications for psychological interventions. Medicine. 2023; 102 (27): e34248. DOI: 10.1097/MD.00000000000342481
  6. Lyapina I.N., Argunova Yu.A., Shaleva V.A., Dren E.V., Pomeshkina S.A., Barbarash O.L. Dynamics of quality of life, anxiety and depression during early physical rehabilitation of patients after surgical correction of acquired mitral valve disease: a clinical prospective randomized study. CardioSomatics. 2023; 14 (1): 5–15 (in Russ.). DOI: 10.17816/CS23084
  7. Vu T., Smith J.A. The pathophysiology and management of depression in cardiac surgery patients. Front. Psychiatry. 2023; 14: 1195028. DOI: 10.3389/fpsyt.2023.1195028
  8. Shchelkova O.Yu., Yakovleva M.V., Eremina D.A., Shindrikov R.Yu., Kruglova N.E., Gorbunov I.A., Demchenko E.A. O razrabotke sistemnoy (biopsikhosotsial'noy) modeli prognoza pri serdechno-sosudistykh zabolevaniyakh. Obozreniye psikhiatrii i meditsinskoy psikhologii imeni V.M. Bekhtereva. 2023; 57 (3): 70–79. DOI: 10.31363/2313-7053-2023-732
  9. Velikanov A.A., Demchenko E.A., Zelenskaya I.A., Lubinskaya E.I., Protasov E.A. Organizational principles of medical psychologist’s work in a cardiology hospital. Medical Psychology in Russia. 2018; 10 (3): 1–9 (in Russ.). DOI: 10.24411/ 2219-8245-2018-13090
  10. Bubnova M.G., Aronov D.M., Boitsov S.A., Ivanova G.E., Andreev A.G., Barbarash O.L. et al. Organization of cardiac rehabilitation in Russia. Results of the Pilot Project. CardioSomatics. 2016; 7 (3–4): 72–81 (in Russ.).
  11. Mesana T. Heart teams for treatment of cardiovascular disease. 1st ed. Cham: Springer Nature Switzerland AG; 2019.
  12. Belov V.N., Antonenkov Yu.E., Chernov A.V. Effectiveness of the inpatient stage of rehabilitation after cardiosurgical interventions on an «open» heart using artificial circulation. Journal of New Medical Technologies. 2023; 2: 74–76 (in Russ.). DOI: 10.24412/1609-2163-2023-2-74-76
  13. Hendriks J.M., Jaarsma T. The multidisciplinary team approach in cardiovascular care. Eur. J. Cardiovasc. Nurs. 2021; 20 (2): 91–92. DOI: 10.1093/eurjcn/zvaa005
  14. Solodukhin A.V., Vidyaeva N.G., Pomeshkina E.E., Argunova Yu.A., Sery A.V., Barbarash O.L. Application of rational-emotive behavior therapy methods in patients with stable coronary heart disease and coronary artery bypass grafting. Siberian Psychological Journal. 2020; (75): 182–194 (in Russ.). DOI: 10.17223/17267080/75/10
  15. Ishinuki T., Zhang L., Harada K., Tatsumi H., Kokubu N., Kuno Y. et al. Clinical impact of rehabilitation and ICU diary on critically ill patients: a systematic review and meta-analysis. Nurs. Crit. Care. 2023; 28 (4): 554–565. DOI: 10.1111/nicc.12880
  16. Brown T., Chen S., Ou Z., McDonald N., Bennett-Murphy L., Schneider L. et al. Feasibility of assessing adolescent and young adult heart transplant recipient mental health and resilience using patient-reported outcome measures. J. Acad. Consult. Liaison Psychiatry. 2022; 63 (2): 153–162. DOI: 10.1016/j.jaclp.2021. 08.002
  17. Richards S.H., Anderson L., Jenkinson C.E., Whalley B., Rees K., Davies P. et al. Psychological interventions for coronary heart disease. Cochrane Database Syst. Rev. 2017; 4: CD002902. DOI: 10.1002/14651858.CD002902.pub4
  18. Eremina D.A., Kruglova N.E., Shchelkova O.Yu., Yakovleva M.V. Psychological foundations for improving the effectiveness of rehabilitation treatment of patients with coronary artery disease after coronary artery byp ass grafting. Vestnik of Saint Petersburg University. Series 12. Sociology. 2014; 1: 54–68 (in Russ.).
  19. Belenkov Yu.N., Mareev V.Yu., Ageev F.T., Begrambekova Yu.L. Patient with chronic heart failure as a participant in the treatment process: the role of structured education and outpatient observation (to the anniversary of the CHANCE study). Kardiologiia. 2024; 64 (11): 37–47. DOI: 10.18087/cardio.2024.11.n2779
  20. Vinogradova N.G., Polyakov D.S., Fomin I.V., Vaisberg A.R., Pogrebetskaya V.A. Results of fiveyear outpatient follow-up of patients with heart failure in a specialized center. Kardiologiia. 2024; 64 (11): 84–95 (in Russ.). DOI: 10.18087/cardio.2024.11.n2783
  21. Rozhnev V.V., Gorbunova E.V., Sadovnikov A.V., Lyapina I.N., Barbarash O.L. The efficacy of the smartrehabilitation program in patients after the correction of valvular heart diseases. Kardiologiia. 2023; 63 (5): 27–32 (in Russ.). DOI: 10.18087/cardio.2023.5.n2041
  22. Fomin I.V., Belenkov Yu.N., Mareev V.Yu., Ageev F.T., Artemyeva E.G., Badin Yu.V. et al. EPOCH-CHF as a mirror of the current problems in cardiovascular diseases treatment in real clinical practice. Kardiologiia. 2024; 64 (11): 48–61 (in Russ.). DOI: 10.18087/cardio.2024.11. n2808
  23. Dzhitava T.G., Shamsiev G.A., Abdulloev O.K., Filaretova O.V., Agafonov I.A., Kusraev G.A. et al. Determining factors of early rehabilitation of patients after open heart surgery. Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2024; 66 (1): 99–112 (in Russ.). DOI: 10.24022/0236-2791-2024-66-1-99-112

About Authors

  • Antonina N. Kurilovich, Medical Psychologist; ORCID
  • Anna A. Tuzova Iodo, Psychologist; ORCID
  • Tamara G. Dzhitava, Cand. Med. Sci., Head of Department; ORCID
  • Olga V. Filaretova, Dr. Med. Sci., Researcher; ORCID
  • Alesya G. Shormanova, Cardiologist; ORCID
  • Igor Ya. Klimchuk, Cand. Med. Sci., Cardiac Surgeon; ORCID

Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery


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