[Depressive syndrome and ischemic cardiopathy].
The prevalence of ischemic heart disease and depressive syndrome in the occidental population is high. Clinical depression appears to be an independent risk factor for coronary heart disease. Depression after an acute coronary event exerts a profoundly negative effect on quality of life and is related to poor prognosis (increased mortality rates and further cardiac events). Moreover, medical therapy in patients with ischemic heart disease and depressive symptoms is not free of problems. The purpose of this review is to present the relationships between depression and cardiovascular disease on the data collected from different studies and make recommendations for improving assessment and treatment of depressive symptoms in the family practice, internal medicine or cardiologist setting. Only an interdisciplinary integration among basic scientists and clinicians, will decrease the comorbidity.
Araquistain
J M
JM
Cattedra di Cardiologia, Dipartimento di Scienze Cardiovascolari, Università Campus Bio-Medico di Roma, Via Emilio Longoni, 83, 00155 Roma. j.araquistain@unicampus.it
Montesanti
R
R
D003866:Depressive Disorder / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications*