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[Affective disorders in the chronic phase of ischemic cerebrovascular disease]

A Arboix1, L Mauri, J L Martí-Vilalta

  • 1Servicio de Neurología, Hospital de la Santa Creu i Sant Pau, Barcelona.

Revista Clinica Espanola
|October 1, 1990
PubMed

Insights

Affective disorders, such as depression, are common in patients with chronic ischemic cerebral vascular disease (ICVD). Early diagnosis and treatment are crucial for improving patient outcomes.

Area of Science:

  • Neurology
  • Psychiatry
  • Vascular Neurology

Context:

  • Ischemic cerebral vascular disease (ICVD) significantly impacts patient well-being.
  • Affective disorders are frequently observed in the chronic phase of ICVD.

Purpose:

  • To determine the incidence and characteristics of affective disorders in patients with chronic ICVD.
  • To identify factors associated with the occurrence of affective disorders in this population.

Summary:

  • Thirty-nine percent of patients with chronic ICVD exhibited affective disorders.
  • Depression rates were highest in atherothrombotic and cardioembolic infarcts, and lowest in lacunar infarcts.
  • Factors like prior depression history, infarct extent, location (carotid territory, dominant hemisphere, cortical), and severity of functional limitation were associated with higher affective disorder incidence.

Impact:

  • Highlights the significant prevalence of affective disorders in chronic ICVD.
  • Underscores the necessity of accurate diagnosis and appropriate treatment for affective disorders in ICVD patients.
  • Aims to improve clinical symptom management and overall patient prognosis in chronic ICVD.

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