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Published on: April 26, 2024
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
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.
Abstract:
Depression occurring concurrently with cardiovascular diseases is associated with poor outcomes. Several review articles have examined the link between established indices of depression and prognosis in individuals with known coronary heart disease (CHD). These studies have demonstrated relatively consistent results and suggest an important connection between cardiovascular morbidity and mortality in patients with depressive symptoms or major depression. This article discusses the current best practices for the screening, identification, and treatment of depression in patients with CHD and coronary heart failure, as well as the financial aspects associated with care management.
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