TY - JOUR T1 - Mental disorders and cardiovascular disease: what should we be looking out for? JF - Heart JO - Heart SP - 1756 LP - 1761 DO - 10.1136/heartjnl-2019-316379 VL - 107 IS - 21 AU - Matthias Michal AU - Manfred Beutel Y1 - 2021/11/01 UR - http://heart.bmj.com/content/107/21/1756.abstract N2 - Learning objectivesTo understand the importance of detecting and managing common non-organic mental disorders for the outcome of patients with cardiovascular disease.To be able to identify common mental disorders and to inform the patient about it.To be able to manage the mental healthcare needs of patients in cardiological settings (referral, interdisciplinary patient care).To be able to explain basic mechanisms of common mental disorders to the patient.To be familiar with common treatment options for patients with mental disorders.Mental disorders are prevalent. They impair patients’ quality of life severely and are associated with an increased risk of developing cardiovascular disease (CVD) and worse prognosis.1–4 Although these facts have been well established, there is still a gap in diagnostic awareness and treatment of mental disorders in patients with CVD.5–8 Therefore, we aim to educate cardiologists about the importance of mental disorders and how to address the widely unmet healthcare needs of patients with a mental disorder in their clinical practice.Mental disorders increase the risk for subsequent CVDAll mental disorders are associated with an increased risk of developing CVD.9–11 As an example, we show the risk estimates from a recent extensive population-based cohort study from the Danish national registries, observing 5.9 million persons for 15 years (table 1).10 In general, the risk of developing CVD increases with the number of comorbid mental disorders, for example, from 1.5-fold to 3.0-fold for one as compared with five diagnoses.11 View this table:In this windowIn a new windowTable 1 Association between mental disorders and subsequent CVD10 The onset of CVD triggers mental disordersThe onset of CVD escalates the risk of developing mental disorders by 2.2-fold. The 12-month prevalence of mental disorders in patients with CVD is reaching prevalence rates of 43.7% for inpatients and 42.2% for outpatients.12 These mental disorders are worsening cardiac prognosis significantly.5 13–15 For example, the most common symptoms of mental disorders, anxiety and … ER -