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Titolo:
Assessment and treatment of depression following myocardial infarction
Autore:
Guck, TP; Kavan, MG; Elsasser, GN; Barone, EJ;
Indirizzi:
Creighton Univ, Sch Med, Dept Family Practice, Omaha, NE 68124 USA Creighton Univ Omaha NE USA 68124 pt Family Practice, Omaha, NE 68124 USA
Titolo Testata:
AMERICAN FAMILY PHYSICIAN
fascicolo: 4, volume: 64, anno: 2001,
pagine: 641 - 648
SICI:
0002-838X(20010815)64:4<641:AATODF>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
ISCHEMIC-HEART-DISEASE; TRICYCLIC ANTIDEPRESSANTS; FLUOXETINE; MORTALITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Guck, TP Creighton Univ, Sch Med, Dept Family Practice, 3047 S 72nd St, Omaha, NE 68124 USA Creighton Univ 3047 S 72nd St Omaha NE USA 68124 ha, NE 68124 USA
Citazione:
T.P. Guck et al., "Assessment and treatment of depression following myocardial infarction", AM FAM PHYS, 64(4), 2001, pp. 641-648

Abstract

Approximately 65 percent of patients with acute myocardial infarction report experiencing symptoms of depression. Major depression is present in 15 to 22 percent of these patients. Depression is an independent risk factor inthe development of and mortality associated with cardiovascular disease inotherwise healthy persons. Persons who are depressed and who have pre-existing cardiovascular disease have a 3.5, times greater risk of death than patients who are not depressed and have cardiovascular disease. Physicians can assess patients for depression by using one of several easily administered and scored self-report inventories, including the SIG E CAPS + mood mnemonic. Cognitive-behavior therapy is the preferred psychologic treatment. Selective serotonin reuptake inhibitor antidepressants are the recommended pharmacologic treatment because of the relative absence of effects on the cardiovascular system. The combination of a selective serotonin reuptake inhibitor with cognitive-behavior therapy is often the most effective treatment for depression in patients with cardiovascular disease.

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Documento generato il 01/04/20 alle ore 11:27:33