Sørensen Claus Hauregaard, Stage Kurt B
Odense Universitetshospital, Psykiatrisk Afdeling, Odense C.
Ugeskr Laeger. 2007 Apr 16;169(16):1465-7.
Depression is an independent risk factor for ischemic heart disease and is related to increased cardiovascular mortality. Post myocardial infarction depression is related to less compliance with medical treatment, less participation in cardiac rehabilitation, less modification of life style factors and increased mortality. So far, routine treatment with selective serotonin re-uptake inhibitors is not warranted as the evidence is insufficient. Improved cooperation between general practice, cardiologists and psychiatrists is necessary in order to identify and treat this group of patients.
抑郁症是缺血性心脏病的独立危险因素，与心血管疾病死亡率增加相关。心肌梗死后抑郁症与药物治疗依从性降低、心脏康复参与度降低、生活方式因素改变较少以及死亡率增加有关。迄今为止，由于证据不足，不建议常规使用选择性5-羟色胺再摄取抑制剂进行治疗。为了识别和治疗这类患者，普通科、心脏病专家和精神科医生之间加强合作很有必要。
