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August 21, 2018Cardiology in Review83 citations

Hearts and Minds: Stress, Anxiety, and Depression

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ASAlexandra L. SilvermanMcLean HospitalAHAlfred HerzogHartford HospitalDSDavid I. SilvermanBrigham and Women's Hospital

Key Result

Anxiety, depression, and stress increase the risk of adverse cardiac events in patients with cardiovascular disease and should be treated as concomitant risk factors.

Structured PICO

P
Population
Patients with cardiovascular disease (CVD) who suffer from anxiety, depression, and stress
I
Intervention
Psychologic therapies and pharmacotherapy

This review highlights the importance of recognizing and treating anxiety, depression, and stress as concomitant risk factors in patients with cardiovascular disease.

Abstract

Anxiety, depression, and stress are exceedingly common in patients with cardiovascular disease (CVD). They increase the risk of cardiac events and are associated with much worse outcomes. A causal relationships exists between anxiety/depression and adverse cardiac events such as acute myocardial infarction and sudden cardiac death. Various treatments, including psychologic therapies and pharmacotherapy, can used to treat patients with these disorders. This review discusses the epidemiology, pathogenesis, and treatment options for patients with CVD who suffer from these conditions and argues that they should be treated as concomitant risk factors for CVD.

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Cite This Study

Silverman et al. (2018) conducted a review in Cardiovascular disease with anxiety, depression, or stress. Psychologic therapies and pharmacotherapy was evaluated. Anxiety, depression, and stress increase the risk of adverse cardiac events in patients with cardiovascular disease and should be treated as concomitant risk factors.

synapsesocial.com/papers/6a0e239620947ccb2327a3c6https://doi.org/10.1097/crd.0000000000000228
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1DEPRESSION AND ANXIETY IN PATIENTS WITH CARDIOVASCULAR DISEASES: A NARRATIVE REVIEW OF PREVALENCE, MECHANISMS AND CLINICAL IMPLICATIONS2026
  2. 2From Heartbreak to Heart Disease: A Narrative Review on Depression as an Adjunct to Cardiovascular Disease2020 · 5 citations
  3. 3Anxiety in Individuals with Cardiovascular Diseases2022 · 12 citations
  4. 4The relationship between depression, anxiety, and cardiovascular outcomes in patients with acute coronary syndromes2010 · 157 citations
  5. 5Depressive and anxiety disorders in the cardiological conditions: psychological interventions2022 · 3 citations