[Correlation of depression with stroke. Pathophysiological mechanisms]
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Published on: May 22, 2019
1Abteilung für Psychiatrie und Psychotherapie, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Eschenallee 3, 14050, Berlin. peter.neu@charite.de
Insights
Depression may increase stroke risk by influencing shared risk factors and pathophysiological pathways. Understanding these links is crucial for preventing strokes, a leading cause of death.
Area of Science:
- Neuroscience and Public Health
- Investigating the intersection of mental health and cardiovascular disease.
Context:
- Stroke is a leading cause of mortality globally, with incidence projected to rise.
- A significant correlation exists between depression and stroke, yet underlying mechanisms remain unclear.
Purpose:
- To review and elucidate the potential pathophysiological mechanisms linking depression to increased stroke risk.
- To highlight shared risk factors that may mediate the relationship between these two conditions.
Summary:
- Depression influences various biological pathways, including inflammation, endothelial dysfunction, and autonomic imbalance, which are also implicated in stroke pathogenesis.
- Shared risk factors such as hypertension, diabetes, and lifestyle behaviors (e.g., smoking, poor diet) may exacerbate the impact of depression on stroke risk.
- This review consolidates current knowledge on how depression-related mechanisms contribute to cerebrovascular disease development.
Impact:
- Provides a foundation for developing targeted interventions for stroke prevention in individuals with depression.
- Enhances understanding of the complex interplay between mental and physical health, informing public health strategies.
- Identifies key areas for future research into the bidirectional relationship between depression and stroke.
Abstract:
Stroke is the third leading cause of death, just after heart disease and cancer. Its incidence will probably increase dramatically in the coming decades. For prevention it is urgently necessary to gain fundamental knowledge about the risk factors and pathophysiological mechanisms. It is now widely accepted that depression and stroke are correlated with each other. There is little knowledge, however, about the links that might connect both diseases. This review discusses different mechanisms that lead to an increased stroke risk and can be influenced by depression as well thus possibly linking depression and stroke.
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