[Chronic heart failure and depression: the limitations of specialization-specific multidisciplinary guidelines].
Recently two monodisciplinary guidelines, 'Mood disorders' and 'Chronic heart failure', were upgraded to multidisciplinary guidelines in order to guarantee an appropriate long-term care trajectory for these patients. Neither guideline mentions clinically relevant interactions despite the extensive research in this area over the past decade. The guideline for chronic heart failure should include information on how to detect patients who are depressed or at risk of depression and that depressed patients are at risk of non-compliance with the cardiac treatment. In the guideline for mood disorders excess mortality and the need for combined treatment with cardiologists should be mentioned.
Huyse
F J
FJ
Academisch Ziekenhuis, afd. Algemene Interne Geneeskunde, Hanzeplein 1, 9700 RB Groningen. f.j.huijse@int.azg.nl
Slaets
J P J
JP
de Jonge
P
P
Ormel
J
J
D002309:Cardiology / Q000592:standards*; D003863:Depression / Q000150:complications* / Q000175:diagnosis; D006333:Heart Failure / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D033183:Interdisciplinary Communication; D009426:Netherlands; D017410:Practice Guidelines as Topic; D011570:Psychiatry / Q000592:standards*