Key result
Depression, exhaustion, and anxiety are directly linked to increased risk of cardiac disease.
Why the study?
Patients with sustained myocardial infarction are more depressed but less often prescribed antidepressants than people without MI, highlighting a clinical gap in understanding their association.
Are symptoms of depression associated with an increased risk of a first myocardial infarction?
Are symptoms of depression associated with an increased risk of a first myocardial infarction?
Symptoms of depression are significantly more common in patients with a recent first MI and are associated with a doubled risk of myocardial infarction.
May prompt depression screening in primary prevention; leaves open whether intervention reduces first-MI risk.
At the April meeting of EuroHeartCare 2016 (Athens, Greece), Dr. Barbro Kjellstrom (Karolinska Institute Stockholm, Sweden) showed that patients with a sustained myocardial infarction (MI) are more depressed but are less often prescribed antidepressants than people without a sustained MI. EuroHeartCare is the annual congress of the Council on Cardiovascular Nursing and Allied Professions (CCNAP) of the European Society of Cardiology (ESC). The data presented at EuroHeartCare were derived from the Swedish PAROKRANK study showing that periodontitis increased the risk of having a first MI by 30 % [1, 2]. The study included 805 patients under 75 years (average 62 years, 81 % men) who had experienced a first MI. Symptoms of depression were found in 14 % of patients compared with only 7 % of 805 matched controls, and these symptoms were associated with a doubled risk for an MI.
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E. E. van der Wall (2016) conducted an editorial in Cardiac disease and depression. Depression and stress-related disorders was evaluated. Multiple studies demonstrate a direct association between various cardiac diseases and stress-related disorders such as depression, exhaustion, and anxiety.
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