Depressive symptoms and mortality in patients with congestive heart failure: a six-year follow-up study.

Abstract:

BACKGROUND:To evaluate the possible long-term effect of symptoms of depression on mortality risk among patients with congestive heart failure. MATERIAL/METHODS:Proportional hazard models were used to evaluate the effect of symptoms of depression on mortality among 119 clinically stable patients with symptomatic heart failure, recruited from an outpatient cardiology practice. Fifty-one deaths were registered during the six years of data collection, all from cardiac causes. RESULTS:Symptom of depression were a significant predictor of mortality (relative risk per 1-point increase on the depression scale, 1.05, confidence interval, 1.00 to 1.08; p = 0.016), controlling for the confounding effects of the personality trait of neuroticism, heart failure severity (proANP), gender and age. CONCLUSIONS:Given the long-term effect of depressive symptomatology on CHF mortality found in the present study, health care professionals should identify patients who are at risk of suffering from depression as early as possible, and should try to provide appropriate treatment. There is a need among CHF patients for studies that seek to examine whether treatment of depression reduces the risk of mortality.

journal_name

Med Sci Monit

authors

Murberg TA,Furze G

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

CR643-8

issue

12

eissn

1234-1010

issn

1643-3750

pii

4783

journal_volume

10

pub_type

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