Expert Opinion-Depression in Patients with Heart Failure: Is Enough Being Done?
Card Fail Rev
; 2(2): 110-112, 2016 Nov.
Article
em En
| MEDLINE
| ID: mdl-28785463
ABSTRACT
Depression is a major issue in heart failure (HF). Depression is present in about one in five HF patients, with about 48 % of these individuals having significant depression. There is a wide variation in reported prevalences because of differences in the cohorts studied and methodologies. There are shared pathophysiological mechanisms between HF and depression. The adverse effects of depression on the outcomes in HF include reduced quality of life, reduced healthcare use, rehospitalisation and increased mortality. Results from metaanalysis suggest a twofold increase in mortality in HF patients with compared to those without depression. Pharmacological management of depression in HF has not been shown to improve major outcomes. No demonstrable benefits over cognitive behavioural therapy and psychotherapy have been demonstrated.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Aspecto:
Patient_preference
Idioma:
En
Revista:
Card Fail Rev
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Nigéria