Carney R M, Freedland K E, Sheline Y I, Weiss E S
Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63178, USA.
Clin Cardiol. 1997 Mar;20(3):196-200. doi: 10.1002/clc.4960200304.
Major depression is a common comorbid condition in patients with coronary heart disease (CHD). Although mild emotional distress may be a normal reaction to myocardial infarction or other manifestations of CHD, major depression should not be considered a normal reaction, nor should it be ignored. Major depression is a debilitating comorbid disorder that can seriously complicate recovery and increase the risks of further cardiac morbidity and mortality. Fortunately, it is one that can be successfully treated in the majority of cases. The purpose of this review is to present the evidence for the negative prognostic effects of depression in cardiac patients and to discuss methods for assessing and treating depression in these patients.
重度抑郁症是冠心病（CHD）患者常见的共病情况。虽然轻度情绪困扰可能是对心肌梗死或冠心病其他表现的正常反应，但重度抑郁症不应被视为正常反应，也不应被忽视。重度抑郁症是一种使人衰弱的共病性疾病，会严重使康复过程复杂化，并增加进一步发生心脏疾病和死亡的风险。幸运的是，在大多数情况下，它是一种可以成功治疗的疾病。本综述的目的是阐述抑郁症对心脏病患者预后产生负面影响的证据，并讨论评估和治疗这些患者抑郁症的方法。
