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Published on: January 7, 2019
[Treatment of depression in coronary heart disease]
A Agorastos1, F Lederbogen, C Otte
1Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Martini Str. 52, Geb. W37, 20246, Hamburg, Deutschland, aagorast@uke.uni-hamburg.de.
Insights
Depression is common in patients with coronary heart disease (CHD) and worsens outcomes. Effective depression treatment can improve cardiac health and reduce mortality risk in these patients.
Area of Science:
- Cardiology
- Psychiatry
- Public Health
Context:
- Depression and coronary heart disease (CHD) are significant causes of disability with high comorbidity.
- Depression independently predicts poorer prognosis and increased mortality in CHD patients.
- Treating depression in CHD patients can mitigate cardiac event risk.
Purpose:
- To provide an overview of depression epidemiology in CHD.
- To explore the mechanisms linking depression and CHD.
- To review current evidence for depression treatment options in CHD patients.
Summary:
- Epidemiology of depression in coronary heart disease (CHD).
- Mechanisms of association between depression and CHD.
- Current evidence for various treatment modalities including self-management, psychotherapy, pharmacotherapy, and collaborative care.
Impact:
- Highlights the importance of managing depression in CHD for improved patient outcomes.
- Informs clinical practice regarding evidence-based treatment strategies.
- Emphasizes the link between mental health and cardiovascular health.
Abstract:
Depression and coronary heart disease (CHD) are leading causes of disability and show a high comorbidity. Furthermore, depression is an independent risk factor for an unfavorable course and increased mortality in patients with CHD. In contrast, successful treatment of depression can reduce the risk of cardiac events. Currently, there are several treatment options for the management of depression in CHD, including self-management strategies, psychotherapy, pharmacotherapy and collaborative care models. This article provides an overview of the epidemiology of depression in CHD, the mechanisms of association and the current state of evidence with respect to the different treatment options.
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