Screening and identification of depression among patients with coronary heart disease and congestive heart failure

Kenneth R Yeager1, Philip F Binkley, Radu V Saveanu

  • 1Department of Psychiatry, The Ohio State University, 1670 Upham Drive, Columbus, OH 43210, USA. kenneth.yeager@osumc.edu

Heart Failure Clinics
|November 27, 2010
PubMed

Insights

Concurrent depression and cardiovascular disease worsen patient outcomes. This review covers best practices for managing depression in coronary heart disease (CHD) patients, improving cardiovascular health.

Area of Science:

  • Cardiology
  • Psychiatry
  • Health Services Research

Background:

  • Depression frequently co-occurs with cardiovascular diseases, leading to adverse health outcomes.
  • Existing research consistently links depressive symptoms and major depression to increased cardiovascular morbidity and mortality.
  • The interplay between mental health and heart conditions necessitates integrated care strategies.

Purpose of the Study:

  • To outline current best practices for screening, identifying, and treating depression in patients with coronary heart disease (CHD).
  • To discuss the management of depression in patients experiencing coronary heart failure.
  • To explore the financial implications of managing comorbid depression and cardiovascular disease.

Main Methods:

  • Literature review of studies examining depression indices and prognosis in individuals with known CHD.
  • Synthesis of evidence on screening and treatment modalities for depression in cardiovascular patients.
  • Analysis of financial aspects related to integrated care management.

Main Results:

  • Consistent evidence demonstrates a significant association between depression and poor prognosis in patients with CHD.
  • Effective screening and treatment of depression can mitigate negative cardiovascular outcomes.
  • Integrated care models show promise for managing comorbid conditions.

Conclusions:

  • Managing depression is crucial for improving outcomes in patients with cardiovascular diseases.
  • Adopting best practices for screening and treatment is essential for effective patient care.
  • Addressing the financial aspects of integrated care is vital for sustainable management strategies.

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Exercise Stress Test01:26

Exercise Stress Test

Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...