Navigation Links
Depression, Anxiety Bad for the Heart
Date:6/29/2009

Two new studies show effects on angina and mortality

MONDAY, June 29 (HealthDay News) -- Two new studies show that problems with the mind can play a significant role in problems of the heart.

One study found that anxiety and depression can increase the incidence of angina, the chest pain that sends many people to the doctor, said Dr. Mark Sullivan, professor of psychiatry and behavioral sciences at the University of Washington, and senior author of one of the reports in the June 29 online issue of Circulation.

"The overwhelming focus in the United States has been on ischemia," the blockage of heart arteries, Sullivan said. "That is pretty unique in the world. The rest of the world takes a much more multi-modal approach to chest pain. Ischemia is not the only or most important cause of what patients are feeling."

Stress tests and similar measures are properly used to assess ischemia in people with angina, Sullivan said. "But in addition to the kind of diagnostic studies done with stress tests, patients who have a lot of angina should be screened for anxiety and depression, because they could be very cost-effective targets for intervention," he said.

To prove that point, Sullivan and his colleagues studied 191 people with known ischemia who underwent stress testing and heart imaging. They found that 36 percent reported no angina in the previous month, with 35 percent reporting monthly incidents.

Of the 30 percent who had daily or weekly angina, psychological assessments, including a self-reporting anxiety and depression questionnaire, showed that 44 percent had significant anxiety and two-thirds had significant depression.

It's not clear whether the psychological problems were heightening the effect of angina or vice versa, Sullivan said. What is clear is that physicians treating people with angina can use "fairly simple screening tests" to determine the presence of anxiety or depression and treat those conditions if necessary, he said.

"This is something many cardiologists tend not to be comfortable with," Sullivan said, so another physician could be called in to handle the problem. Referral to a psychiatrist is not necessary, because "at this point in time most primary-care physicians are comfortable with making an initial trial with treatment," he said.

The new study was not designed to show whether treatment by such measures as antidepressants could relieve chest pain, Sullivan said, but his group is considering such a trial.

Another report in the journal linked depression with poor outcomes for people with both heart failure, the progressive loss of ability to pump blood, and the abnormal heart rhythm called atrial fibrillation.

"Many studies have shown that depression is a predictor of mortality after a heart attack or in congestive heart failure," said study author Nancy Frasure-Smith, a senior research associate at the Montreal Heart Institute. "Most studies have shown that differences in severity of heart disease between people who are depressed or not depressed do not account for the difference. One hypothesis is that people who are depressed don't get as good treatment for their heart disease."

To test that hypothesis, Frasure-Smith and her colleagues assessed 974 people with heart disease for depression -- which was found in 32 percent of them -- and then assigned them to get either standard medical care or a heightened degree of care.

The study showed that "depression is at least an indicator of patients who are at higher risk of mortality even when given the best care we know how to," Frasure-Smith said.

Nevertheless, the case against extra care for such people is not proven because "there are no trials assessing treatment for depression in people with congestive heart disease and atrial fibrillation," she said. "Newer antidepressants are more effective, and if you give these people extra care, they may get better."

More information

Depression and its treatment are described by the U.S. National Institute of Mental Health.

SOURCES: Mark Sullivan, M.D., Ph.D., professor, psychiatry and behavioral sciences, University of Washington, Seattle; Nancy Frasure-Smith, Ph.D., senior research associate, Montreal Heart Institute; June 29, 2009, Circulation, online



SOURCES: Mark Sullivan, M.D., Ph.D., professor, psychiatry and behavioral sciences, University of Washington, Seattle; Nancy Frasure-Smith, Ph.D., senior research associate, Montreal Heart Institute; June 29, 2009, Circulation, online


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Hot ice, measuring depression, perfect invisibility and flu vaccine incentives
2. Diet Drug Rimonabant Tied to Depression, Anxiety
3. Smaller babies more prone to depression, anxiety later on
4. Depression, Obesity Coexist in Many Middle-Aged Women
5. Antidepressants Can Increase Depression, Impulsivity and Suicide Risk by Decreasing Dopamine
6. Social form of bullying linked to depression, anxiety in adults
7. Depression, PTSD Common Among Lung Transplant Patient Caregivers
8. With Depression, Vets Face Higher Suicide Risk
9. HealthyPlace.com, the Largest Consumer Mental Health Site, Launches Mediminder, a Free Medication Reminder Tool for the More Than 30 Million People Who Suffer From Depression, Anxiety, Bipolar Disorder and Other Mental Health Conditions
10. For Bipolar Depression, Surveyed Experts Indicate That Current and Emerging Therapies Have No Advantage Over Seroquel in Decreasing the Severity of Symptoms
11. The Hidden Story: Poetry Inspired by Authors Struggle with Depression, Addiction
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Depression, Anxiety Bad for the Heart
(Date:6/28/2017)... ... June 28, 2017 , ... The ... program for mid-market executives as a kick-off to the fifth annual CEO Connection ... 2017 on the University of Pennsylvania campus, followed by the two-day convention, which ...
(Date:6/28/2017)... ... June 28, 2017 , ... Canadian Zeolite Corp. (the ... two year study conducted by the University of Saskatchewan in partnership with PotashCorp, ... potash brine-impacted groundwater. As a part of the study, batch adsorption experiments were ...
(Date:6/28/2017)... VA (PRWEB) , ... June 28, 2017 , ... ... protection assistance and financial consultations to communities in northern Virginia and DC, is ... to help provide for patients with Alzheimer’s and other disorders that lead to ...
(Date:6/27/2017)... ... June 27, 2017 , ... Nearly 70 percent ... data released today by the American Society for Dermatologic Surgery (ASDS). ... percentage of consumers considering a cosmetic medical procedure has doubled since 2013. , ...
(Date:6/27/2017)... ... 27, 2017 , ... Salucro, the cloud-based payment platform that ... hospitals and provider groups, has announced that it will now offer Parasail’s payment ... a San Francisco health-finance startup that has launched a series of tech-based products ...
Breaking Medicine News(10 mins):
(Date:6/16/2017)... , June 16, 2017 Datascope Corp. is voluntarily performing ... Corp. for a potential electrical test failure code.     ... PART NUMBER ... CS300 IABP 0998-UC-0446HXX; ... This ...
(Date:6/13/2017)... Ind. , June 13, 2017 Zimmer Biomet ... musculoskeletal healthcare, today announced that the U.S. Food and Drug ... dated June 3, 2015 relating to its Zhejiang, ... "The successful clearance of the ... manufacturing facility is a measure of the progress ...
(Date:6/9/2017)... , June 9, 2017 More than ... further effort to help spread lessons learned from clinical ... International Diabetes Federation (IDF) and Eli Lilly and Company ... the second phase of the Bringing Research in Diabetes ... their commitment to helping people with diabetes effectively manage ...
Breaking Medicine Technology: