Heart 2006;92:8-10
EDITORIAL
Depression and disability in coronary patients: time to focus on quality of life as an end point
Correspondence to:
Dr Donald C Haas
Mount Sinai School of Medicine, Cardiovascular Institute, One Gustave L. Levy Place, Box 1030, New York, NY 10029, USA; donald.haas@msnyuhealth.org
Depression in acute coronary syndrome patients may have prognostic implications beyond mortality
Keywords: coronary heart disease; depression; disability; quality of life
| The first 150 words of the full text of this article appear below. |
Substantial prospective, epidemiologic evidence now suggests that among patients admitted to the hospital for an acute coronary syndrome (ACS), those suffering co-morbid depression are at significantly increased risk for future cardiovascular morbidity and mortality.1–4 This appears to be true even for patients with mild depressive symptoms that do not meet full clinical criteria for major depression.5 Given the remarkable prevalence of depressive symptoms among patients with coronary disease (approximately 20–30%), the issue is far from trivial.6 However, why depression is a risk factor for poor prognosis is unclear. In many studies, depression is an independent predictor of poor outcomes, which has prompted several investigators to suggest that depression itself may be causally related to the poor prognosis observed in depressed ACS patients.7 Other studies have demonstrated that depression is no longer an independent predictor of outcomes when the severity of coronary disease is rigorously measured and adjusted for in the
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- Depression after myocardial infarction is a risk factor for declining health related quality of life and increased disability and cardiac complaints at 12 months
- P de Jonge, T A Spijkerman, R H S van den Brink, and J Ormel
Heart 2006 92: 32-39.[Abstract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
-
All Versions of this Article:
hrt.2005.066035v1
92/1/8 most recent - Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
-
Drugs: cardiovascular system
-
Epidemiology
-
Echocardiography
- Clinical diagnostic tests
- Relevant Article
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
