Treatment of depression in patients with congestive heart failure
Abstract
Heart failure is common, and depression is common in heart failure patients, adding substantially to the burden of the disease. There is some evidence for the safe and at least modestly effective use of psychotherapy and antidepressants to treat depression in heart failure patients. Cognitive behavioral psychotherapy and selective serotonin reuptake inhibitors are first line treatments. The efficacy of depression treatment in altering cardiac outcomes in heart failure patients has yet to be established.
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Treating low mood can be done safely with pharmacological treatments such as selective serotonin reuptake inhibitors, whereas tricyclic antidepressants and monoamine oxidase inhibitors should be avoided because of the increased risk of arrhythmias or hypotension.
“Treating low mood can be done safely with pharmacological treatments such as selective serotonin reuptake inhibitors, 105 whereas tricyclic antidepressants and monoamine oxidase inhibitors should be avoided because of the increased risk of arrhythmias or hypotension. 106”
From Prioritizing symptom management in the treatment of chronic heart failure (2020) · cites this paper as [106]
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- Authors
- Shapiro, P. A.
- Affiliations
- NewYork–Presbyterian Hospital (US)
- Corresponding author
- Shapiro, Peter A.
- ORCID
- Shapiro, Peter A.
- Venue
- Heart Failure Reviews
- Published
- 2007-10-23
- Volume
- 14
- Issue
- 1
- Pages
- 7-12
- ISSN
- 1382-4147 (ISSN-L)
- 1573-7322
- OpenAlex
- W2084418999
- Cited by
- 30
- References
- 42
- Citations by year
- 2022: 2 · 2020: 2 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Heart Failure Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Nathaniel Wharton Fund
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- depression, congestive heart failure, antidepressants, selective serotonin reuptake inhibitors, cognitive behavioral therapy, psychotherapy, cardiac outcomes, comorbidities
- MeSH terms
- Antidepressive Agents, Depression, Heart Failure, Humans, Psychotherapy, Quality of Life, Cognitive Behavioral Therapy, Treatment Outcome, Selective Serotonin Reuptake Inhibitors
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