Patients with stable CAD and angina primarily experience anxiety, whereas those with heart failure and dyspnea predominantly experience depressive symptoms, suggesting tailored psychological interventions are needed.
May inform differentiated psychological support in angina versus HF; leaves open prospective confirmation of benefit.
In patients with stable CAD, anxiety correlated mainly with symptoms, i.e. angina, than with the history of MI. Patients with symptoms of angina react to the illness with anxiety more than depression, whereas patients with heart failure with dyspnea react to the illness with depressive symptoms more than anxiety. In patients after MI and with stable CAD, cognitive-behavioral techniques could be useful to quickly reduce the level of anxiety, while patients with heart failure require long-term support therapy to reduce the risk of depressive symptoms.
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Moryś et al. (2015) studied this question.
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