Depression and cardiovascular disease in elderly: Current understanding
Yaxin Zhang1, Yujing Chen2, Lina Ma1
1Department of Geriatrics, Xuan Wu Hospital, Capital Medical University, Beijing Institute of Geriatrics, China National Clinical Research Center for Geriatric Disorders, Beijing 100053, China.
Insights
Geriatric depression significantly impacts health, especially when combined with chronic conditions like cardiovascular disease. Understanding the link between geriatric depression and cardiovascular disease is crucial for better treatment strategies.
Area of Science:
- Geriatric Medicine
- Cardiology
- Psychiatry
Background:
- Geriatric depression is a significant public health concern.
- Comorbidity with chronic medical conditions, such as cardiovascular disease, exacerbates health impacts.
- Depression is a prevalent risk factor for cardiovascular disease morbidity and mortality.
Purpose of the Study:
- To review the current understanding of geriatric depression.
- To explore the relationship between geriatric depression and cardiovascular disease.
- To highlight the importance of understanding pathophysiological mechanisms and biological crosstalk.
Main Methods:
- Literature review of current evidence on geriatric depression and cardiovascular disease.
- Analysis of the impact of comorbid depression on chronic conditions.
- Examination of the interplay between depression and cardiovascular health.
Main Results:
- Geriatric depression frequently co-occurs with hypertension, coronary heart disease, and diabetes.
- Depression affects the treatment and prognosis of cardiovascular diseases.
- Evidence on antidepressive therapy in patients with coronary diseases is limited.
Conclusions:
- Effective management requires addressing both primary diseases and psychological/social function.
- Further research into the pathophysiological mechanisms is vital for developing future therapeutic strategies.
- Understanding the complex biological crosstalk is key for managing comorbid geriatric depression and cardiovascular disease.
Abstract:
Geriatric depression is a major public health problem and has an especially large effect on health when comorbid with a chronic medical condition. Hypertension, coronary heart disease, and diabetes are accompanied by a high incidence of depression and can affect the treatment and prognosis. Depression is a highly prevalent risk factor for incident of and is associated with morbidity and mortality of cardiovascular disease. In addition to the proactive and effective control of primary diseases, efforts should also be made to improve patients' psychological and social function. Current evidence on antidepressive therapy in patients with coronary diseases is limited. A better understanding of pathophysiological mechanisms underpinning depression and cardiovascular disease as well as the complex biological crosstalk of cardiovascular disease complicated with depression is particularly important for future therapeutic strategies. The following review is on current understanding of geriatric depression and cardiovascular disease.
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