Comparison of prevalence of symptoms of depression, anxiety, and hostility in elderly patients with heart failure, myocardial infarction, and a coronary artery bypass graft

Abstract

2016-03-19T19:12:06

2013 ACCF/AHA Guideline for the Management of Heart Failure

“…[841][842][843] Although it might be assumed that depression occurs only among hospitalized patients, 844 a multicenter study demonstrated that even at least 3 months after a hospitalization, 63% of patients with HF reported symptoms of depression. 845 Potential pathophysiologic mechanisms proposed to explain the high prevalence of depression in HF include autonomic nervous system dysfunction, inflammation, cardiac arrhythmias, and altered platelet function, but the mechanism remains unclear. 846 Although remission from depression may improve cardiovascular outcomes, the most effective intervention strategy is not yet known.…”

Sexual Activity and Cardiovascular Disease

“…Psychological distress 123 and decreased sexual function or activity 2,3 are associated 124 and are common in patients with CVD. In patients with CAD, 2,3 heart failure, 51 CHD, 67 recent MI, 125 CABG, 126 ICD implantation, 64 or cardiac transplantation, 127 sexual activity frequency and satisfaction often decline because of anxiety on the part of the patient or partner that sexual activity will worsen the underlying cardiac condition or cause death.…”

The contribution of illness perception to psychological distress in heart failure patients

“…There are established links between depression and heart disease (Kent and Shapiro 2009) and a substantial body of research has highlighted the psychological problems of many patients with HF. The prevalence of depression and anxiety is high in chronic heart failure (10-60% depression; 11-45% anxiety); with rates of depressive disorders 2 to 4 times higher in chronic heart failure patients than in the general population (Ladwig et al 2014) and higher in heart failure patients than other cardiac patient groups (Moser et al 2010).…”