Pourafkari Nosratollah, Pourafkari Leili, Nader Nader D
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Anesthesiology, University at Buffalo, Buffalo, NY.
Turk Kardiyol Dern Ars. 2016 Sep;44(6):524-9. doi: 10.5543/tkda.2016.49697.
Coronary artery bypass grafting (CABG) is the most common cardiac surgical procedure. Depression is a frequent comorbidity in patients with ischemic heart disease that can affect the course of the disease and the process of recovery after CABG. Depression after CABG is more common in women and is an independent predictor of mortality in long-term. However, fewer than half of cardiologists ask about depression symptoms in their patients, and with screening measures not being routinely utilized, depression remains under-recognized in this patient population. Treatment of depression in patients with ischemic heart disease can be challenging, considering unwanted medication side effects and interactions. The present report is a review of risk factors, prognosis, prevention, and treatment of depression in patients following CABG.
冠状动脉旁路移植术（CABG）是最常见的心脏外科手术。抑郁症是缺血性心脏病患者常见的合并症，可影响疾病进程及CABG术后的恢复过程。CABG术后抑郁症在女性中更为常见，并且是长期死亡率的独立预测因素。然而，不到一半的心脏病专家会询问患者的抑郁症状，由于未常规采用筛查措施，抑郁症在该患者群体中仍未得到充分认识。考虑到药物的不良副作用和相互作用，缺血性心脏病患者的抑郁症治疗可能具有挑战性。本报告是对CABG术后患者抑郁症的危险因素、预后、预防及治疗的综述。
