martedì 30 settembre 2008

Depressione e cardiopatia ischemica

Depression and Coronary Heart Disease
Recommendations for Screening, Referral, and Treatment
A Science Advisory From the American Heart Association Prevention
Committee of the Council on Cardiovascular Nursing, Council on Clinical
Cardiology, Council on Epidemiology and Prevention, and
Interdisciplinary Council on Quality of Care and Outcomes Research
Endorsed by the American Psychiatric Association

Circulation. 2008;118:0-0

Questo articolo gratuitamente disponibile on line riporta le indicazioni della AHA sulla necessità di effettuare uno screening periodico, anche semplice, per definire l'insorgere dei sintomi della depressione, la cui prevalenza annua nel paziente cardiopatico è di circa il 9%. La presenza di depressione sembra anche modificare in peggio la prognosi del paziente

AHA Recommends Screening Patients with Coronary Heart Disease for Depression

Coronary heart disease patients should be routinely screened for depression -- initially with two simple items -- during every medical encounter, according to new recommendations from the American Heart Association.

The scientific advisory, released online in Circulation, says a recent large survey found that the 12-month prevalence of major depression in patients with cardiac disease is 9% -- nearly twice that in people without comorbid illness. They also noted that depressed heart patients have a worse prognosis.

"The opportunity to screen and treat depression in cardiac patients should not be missed, as effective depression treatment may improve health outcomes," the AHA advisory says.

Patients whose screening results are positive should be referred to specialists for diagnosis and treatment, it says. Their monitoring may include more frequent office visits, ECGs, or assessment of blood levels of medications.

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