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Published on: May 22, 2019
Incidence and impacts of post-cardiac event mental health problems
Barbara M Murphy1, Rosemary O Higgins2, Alun C Jackson3
1PhD, BA (Hons), Associate Director, Australian Centre for Heart Health, Melbourne, Vic; Honorary Senior Fellow, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Vic.
Insights
Acute cardiac events increase the risk of mental health issues, impacting recovery and survival. Early identification and treatment of these conditions are crucial for better cardiovascular outcomes.
Area of Science:
- Cardiology
- Psychiatry
- Primary Care Medicine
Background:
- Acute cardiac events are associated with a higher incidence of mental health problems.
- These mental health issues can impede physical recovery and increase the risk of recurrent cardiac events and mortality.
Purpose of the Study:
- To review the nature, prevalence, predictors, and impacts of mental health problems post-cardiac event.
- To outline the advantages of mental health screening and effective treatments.
- To define the role of general practitioners (GPs) in managing these conditions in cardiac patients.
Main Methods:
- This paper is a review of existing literature and clinical guidelines.
- It synthesizes information on screening tools, treatment options, and GP roles.
Main Results:
- Mental health problems are common after cardiac events, with existing gaps in identification and management across care settings.
- Available screening tools and treatments can improve both mental health and cardiovascular outcomes.
- GPs are pivotal in managing these issues, requiring adequate information on treatment and referral pathways.
Conclusions:
- Addressing post-cardiac event mental health problems is essential for comprehensive patient care.
- Integrated screening and treatment strategies, supported by well-informed GPs, can enhance patient recovery and long-term prognosis.
Background:
Acute cardiac events confer an increased risk of mental health problems, which compromise physical recovery and increase the risk of recurrence and premature mortality.
Objective:
This paper provides an overview of the nature, prevalence, predictors and impacts of post-cardiac event mental health problems, and outlines the benefits of mental health screening, effective treatments for mental health problems and the role of general practitioners (GPs) in the identification and management of mental health problems in cardiac patients.
Discussion:
Post-event mental health problems are common, yet gaps exist in their identification and management in acute inpatient, cardiac rehabilitation and primary care settings. Effective screening tools and treatment options are available and have been shown to improve not only mental health, but also cardiovascular outcomes. GPs are well placed to contribute to the identification and management of post-event mental health problems provided they are equipped with adequate information about treatment and referral options.
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