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Content disclaimerContent on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website. @article{Kemp2003HeartDA, title={Heart disease and depression: don't ignore the relationship.}, author={David Eric Kemp and Shishuka Malhotra and Kathleen N. Franco and George E. Tesar and David L. Bronson}, journal={Cleveland Clinic journal of medicine}, year={2003}, volume={70 9}, pages={ 745-6, 749-50, 752-4 passim } } Evidence is mounting that depression is a risk factor for the development of cardiovascular disease and portends a worse outcome in cardiac patients. Depression can be easily diagnosed and safely treated in cardiac patients, but it is undertreated. Figures from this paper34 CitationsReferencesSHOWING 1-10 OF 110 REFERENCES Depression and cardiovascular diseases
During a 6.6 year follow‐up, the risk of CVD death and coronary death was elevated in depressed persons both with and without CVDs at entry, and the hypothesis that depression is a cause ofCVDs requires further study. Depression and heart disease frequently travel together. This common observation has generated the myth that depression is "normal" in the heart patient. Buying into this concept, many doctors ignore a heart patient's depression, focusing only on the cardiac problem. This is a mistake. Two leading health problems Clinical depression and cardiovascular disease are the two leading causes of disability worldwide. When they coexist in the same patient, they create a synergy that makes both conditions worse. At any given time, about 5 percent of people in the general population are suffering from depression. Unfortunately, we have more bad news for them. Their depression is associated with increased risk of developing coronary heart disease over time. How does depression lead to coronary heart disease? We don't have a concrete answer to this question, but we have some good leads. Depressed individuals often have unfavorable changes in blood pressure, blood clotting, inflammation and circulating stress hormones, all factors associated with coronary heart disease. In addition, lifestyle factors in the depressed person, including, poor diet, smoking and lack of exercise, increase the risk of developing heart disease. Whatever the explanation for the association between depression and heart disease, the message is clear. If a friend or loved one suffers from depression, encourage both treatment of depression and a heart healthy lifestyle to ward off coronary heart disease. Heart patients are prone to depression As if having a heart issue were not enough, it turns out that 20 to 30 percent of all heart patients develop depression. This startling figure has led many physicians to assume that depression is normal in people with heart disease. After all, they reason, anybody would be upset and depressed to discover he had heart disease. They also assume that the depression will get better on its own with time. But both of those beliefs are wrong. Depression is common in people with heart disease, but it is not normal. Depressed heart patients fare poorly Depressed heart patients experience more heart attacks and a higher risk of death than their non-depressed counterparts. After a heart attack, depression substantially increases the risk of having another heart attack and the risk of dying within six months. We see similar trends after bypass surgery. And the worse the depression, the worse the cardiac outlook. What you can do Doctors and nurses routinely ignore heart patients' complaints of feeling sad, empty, and listless. Patients and their families often attribute these feelings to the heart problems, failing to recognize a loved one's depression. But you can recognize depression. The American Heart Association recommends that everyone with heart disease should be screened for depression with two simple questions: 1. During the past month, have you frequently felt down, depressed or hopeless? If you or a loved one has heart disease-newly diagnosed or chronic-see your doctor for help if the answer to either one of these questions is yes. You will be glad that you did.
What is the relationship between depression and heart disease?When you experience depression, anxiety or stress your heart rate and blood pressure rise, there's reduced blood flow to the heart and your body produces higher levels of cortisol, a stress hormone. Over time, these effects can lead to heart disease.
Can heart problems cause mental problems?Evidence shows that mental health disorders—such as depression, anxiety, and PTSD—can develop after cardiac events, including heart failure, stroke, and heart attack.
Can coronary heart disease cause depression?CAD can cause major depressive disorder.
In several studies,15–17 17 to 44 percent of patients with CAD also have a diagnosis of major depression. Another study found that 27 percent of patients undergoing coronary artery bypass graft surgery (CABG) had depression after the surgery.
Is depression common after a heart attack?It is common for you to feel sad or depressed after a heart attack, cardiac surgery or procedure, recent hospitalization, or new diagnosis of heart disease. These emotions may be the result of not knowing what to expect or not being able to do simple tasks without becoming overly tired.
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