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Identifying and managing depression in patients with coronary artery disease

Aimee Salzer Pragle1, Susan Salahshor

  • 1Aimee Salzer Pragle is an assistant professor in the PA program at Florida State University in Tallahassee, Fla. Susan Salahshor is an assistant professor in the PA program at Florida State University and lead PA in abdominal transplant at the Mayo Clinic Florida in Jacksonville. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants
|April 28, 2018
PubMed

Insights

Coronary artery disease (CAD) patients with depression face worse outcomes. This review covers epidemiology, screening, and treatment for this high-risk group.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Coronary artery disease (CAD) is a leading cause of death in the US.
  • Comorbid depression in CAD patients is linked to increased morbidity and mortality.
  • Effective management strategies for this patient population are crucial.

Purpose of the Study:

  • To examine the epidemiology of depression in CAD patients.
  • To review clinical presentation and screening tools for depression in CAD.
  • To outline evidence-based treatment recommendations for comorbid CAD and depression.

Main Methods:

  • Literature review of epidemiological data.
  • Analysis of clinical presentation and diagnostic criteria.
  • Synthesis of current treatment guidelines and research.

Main Results:

  • Depression is prevalent in CAD patients, exacerbating cardiovascular risk.
  • Early screening and diagnosis are essential for timely intervention.
  • Multimodal treatment approaches improve patient outcomes.

Conclusions:

  • Addressing depression in CAD is critical for reducing mortality.
  • Integrated care models enhance management of comorbid conditions.
  • Further research is needed to optimize therapeutic strategies.

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