Gökhan ALTUNBAŞ, Süleyman ERCAN, Vedat DAVUTOĞLU, Ahmet ÜNAL, Feridun BÜLBÜL

Kardiyovasküler hastalık ve depresyon ilişkisi

Kardiyovasküler hastalıklar ve depresyon görülme sıklığı tüm dünyada giderek artan sağlık sorunları olarak kabul edilmektedir. Kardiyovasküler hastalıklar için depresyonun ve de depresyon için kardiyovasküler hastalıkların kötü prognoza işaret ettiğini belirten çalışmalar mevcuttur. Mevcut kılavuzlar kardiyak hastalarda depresyon taramasını önermekle beraber bu konuya dair kesin kanıtlar mevcut değildir. Ayrıca depresyon tedavisinin kardiyak hastalarda prognozu iyileştiremeyebileceği ve antidepresan tedavinin kardiyak ölümü arttırabildiğini bildiren çalışmalar vardır. Biz bu derlemede koroner arter hastalığı ve depresyon ilişkisi ile ilgili yapılan çalışmaları özetlemeyi ve tartışmayı amaçladık.

Anahtar Kelimeler:

koroner arter hastalığı, depresyon

Relationship of cardiovascular disease and depression

Coronary artery disease and depression are accepted as a growing epidemic worldwide. There are many studies that shows depression is a poor prognostic factor for cardiovascular disease and vice versa. Current guidelines recommend depression screening in patients with cardiovascular disease but there is no scientific basis for this recommendation. In addition, there are publications indicating that treatment for depression does not improve cardiovascular outcomes. Furthermore, some antidepressant medications are shown to increase cardiovascular mortality. In this review, we would like to discuss and summarize the studies on this relationship between coronary artery disease and depression.

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