Russian Heart Failure Journal 2004year Depressions in chronic heart failure of ischemic genesis
Depressions in chronic heart failure of ischemic genesis
Vasyuk Yu.A., Dovzhenko T.V., Shkolnik E.L.
Cardiovascular diseases (CVD) and depressive disorders are among most common diseases, which reduce working ability of patients. Available estimations show that prevalence of depressive states in patients with CVD ranges from 18 to 60%. According to data of the study «Compass», one or other depressive disorders are observed in 61% of patients with chronic heart failure (CHF) and in 52% of patients with AH. In addition, patients with depression have twice as high risk of ischemic heart disease (IHD) as in persons without depression. Review presents pathogenetic mechanisms of depression impact on the cardiovascular system; methods of depression detection in patients with CVD; effect of depression on the disease course and prognosis in patients with IHD and CHF; and drug treatment of depressions.