Screening and Management of Depression in Patients With Cardiovascular Disease: JACC State-of-the-Art Review

Depression is a common problem in patients with cardiovascular disease (CVD) and is associated with increased mortality, excess disability, greater health care expenditures, and reduced quality of life. Depression is present in 1 of 5 patients with coronary artery disease, peripheral artery disease,...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2019-04, Vol.73 (14), p.1827-1845
Main Authors: Jha, Manish K, Qamar, Arman, Vaduganathan, Muthiah, Charney, Dennis S, Murrough, James W
Format: Article
Language:English
Subjects:
Anticoagulants
Cardiology
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - prevention & control
Cardiovascular Diseases - psychology
Congestive heart failure
Coronary artery
Coronary artery disease
Depression - diagnosis
Depression - physiopathology
Depression - therapy
Disease control
Diuretics
Expenditures
Health care
Health risk assessment
Health risks
Humans
Mass Screening - methods
Medical screening
Mental depression
Patient Care Management
Patients
Quality of Life
Risk analysis
Risk factors
Vascular diseases
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Summary:Depression is a common problem in patients with cardiovascular disease (CVD) and is associated with increased mortality, excess disability, greater health care expenditures, and reduced quality of life. Depression is present in 1 of 5 patients with coronary artery disease, peripheral artery disease, and heart failure. Depression complicates the optimal management of CVD by worsening cardiovascular risk factors and decreasing adherence to healthy lifestyles and evidence-based medical therapies. As such, standardized screening pathways for depression in patients with CVD offer the potential for early identification and optimal management of depression to improve health outcomes. Unfortunately, the burden of depression in patients with CVD is under-recognized; as a result, screening and management strategies targeting depression have been poorly implemented in patients with CVD. In this review, the authors discuss a practical approach for the screening and management of depression in patients with CVD.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2019.01.041