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Depression Complicates Cardiac Recovery

stethscopeA new study confirms that severe depression following a heart attack can complicate recovery.

In fact, researchers find depression accompanies cardiac complications while hospitalized.

“There is good evidence that if a person has depression after a heart attack, they are more likely to die from cardiac causes in the following months and years,” said lead author Jeff Huffman, M.D., assistant professor of psychiatry at Harvard Medical School.

“No one had yet studied whether depression impacts cardiac outcomes immediately after a heart attack—the time we see the most complications.”

The study included 129 patients at Massachusetts General Hospital. Within 72 hours of having a heart attack, each participant underwent an interview to determine if he or she suffered from depression or anxiety. Seventeen of the original group members had a diagnosis of major depression lasting for at least two weeks.

The presence of major depression was a significant predictor of heart rhythm problems, congestive heart failure or a second heart attack.

Anxiety did not affect the risk for any in-hospital complication.

“The results suggest that physicians should be especially mindful of treating depression in patients with cardiac risk factors,” Huffman said. “They also suggest close in-hospital monitoring of heart attack patients with major depression given this increased risk for complications.”

Huffman noted that the study, which appears in the July-August issue of the journal Psychosomatics, is a small, preliminary study. Most of the participants were white males, so its findings might not apply to other groups.

“What is surprising is that differences in outcomes were seen in a relatively short time. The new observation is that risk for these bad outcomes start while patients are still in the hospital,” said David Bush, M.D., associate professor at The Johns Hopkins University School of Medicine and Heart Institute.

“The separation between heart disease, typically managed by cardiologists and internists, and mental disease, typically managed by psychiatrists, is not as great as many seem to think.” Bush said.

“Physicians and patients should be sensitive to this and work on treating depression in addition to controlling diabetes, lowering blood pressure and lowering cholesterol.”

Source: Health Behavior News Service

Depression Complicates Cardiac Recovery

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Depression Complicates Cardiac Recovery. Psych Central. Retrieved on August 14, 2018, from https://psychcentral.com/news/2008/07/01/depression-complicates-cardiac-recovery/2533.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.