Zeroing in on depression as a cardiovascular risk factor. Can lifting mood improve outcomes?

Abstract:

:Research suggests that depression is a risk factor for the development and progression of cardiovascular disease (CVD) and that there is a strong link between depression and poor outcomes following a cardiovascular event. It has also provided evidence that depressed patients are less likely to follow recommendations to reduce cardiovascular risk, such as taking aspirin, antihypertensive drugs, and lipid-lowering medications. However, data are lacking about whether treating underlying depression reduces the incidence of CVD. Important questions also remain as to whether the elevated risk of CVD decreases when depressive symptoms resolve. Elucidation of the biologic mediators for the relationship between depression and CVD will help our understanding of the link and how to appropriately intervene early enough to improve outcomes.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Ford DE

doi

10.3810/pgm.12.2003.suppl32.191

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

6-13

issue

6 Suppl Managing Depression

eissn

0032-5481

issn

1941-9260

journal_volume

114

pub_type

杂志文章,评审
  • Unilateral vocal cord palsy in a diabetic patient.

    abstract::Remittent isolated palsy of peripheral or of upper cranial nerves in patients with diabetes mellitus is well documented, but paralysis of a lower cranial nerve or an isolated branch of any cranial nerve has not been previously reported. In the case described, temporary paralysis of the left recurrent laryngeal nerve c...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700420

    authors: Kabadi UM

    更新日期:1988-09-15 00:00:00

  • Gastric volvulus. More common than previously thought?

    abstract::Gastric volvulus is torsion of the stomach, which can compromise the gastric orifices and result in either acute or chronic and intermittent symptoms. We believe that gastric volvulus, especially when partial or intermittent, may be more common than has been previously thought. The condition should be suspected in any...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699576

    authors: Llaneza PP,Salt WB 2nd

    更新日期:1986-10-01 00:00:00

  • Update on traveler's diarrhea.

    abstract::Traveler's diarrhea affects a substantial number of travelers to high-risk areas of the world. The key to controlling this troublesome disease is prevention. The most important preventive measures depend on educating patients to consume only safe foods and pure water. Physicians cannot overemphasize the importance of ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1988.11700344

    authors: Strum WB

    更新日期:1988-07-01 00:00:00

  • Physical frailty and cognitive impairment is associated with diabetes and adversely impact functional status and mortality.

    abstract:OBJECTIVES:We investigated whether there was a higher prevalence of cognitive impairment (CI) and/or physical frailty (PF) in persons with diabetes compared to their non-diabetic counterparts, and the individual and combined impact of CI and PF on functional and mortality outcomes among diabetic older persons. METHOD:...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2018.1491779

    authors: Thein FS,Li Y,Nyunt MSZ,Gao Q,Wee SL,Ng TP

    更新日期:2018-08-01 00:00:00

  • What to do when you discover testicular cancer. Helping patients overcome fear and choose treatment.

    abstract::As one patient put it after hearing his treatment options for a stage I testicular tumor, "If you're gonna have cancer, this is about as easy a road as you get." With recognition of the importance of orchiectomy, development of the nerve-sparing lymph node dissection procedure, and availability of modern chemotherapy ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1999.04.699

    authors: Sonpavde G,Einhorn LH

    更新日期:1999-04-01 00:00:00

  • Farm injuries. How can the family farm be made a safer place?

    abstract::Farming is a dangerous life-style and occupation for children and adults. Dangerous situations are taken in stride and considered part of life on a family farm. Regulatory and educational programs and funding have been minimal in the United States. Physicians have been a major force in accident-prevention efforts in o...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1991.11701013

    authors: Sterner S

    更新日期:1991-08-01 00:00:00

  • Transdermal estrogens in the changing landscape of hormone replacement therapy.

    abstract::Views and clinical practice on hormone replacement therapy (HRT) for postmenopausal women have varied widely over the last several decades. The 1990s showed a dramatic decline in prescribing and only recently are prescription rates increasing again. Use of HRT is first line for women suffering from the symptoms of men...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2017.1334507

    authors: Beck KL,Anderson MC,Kirk JK

    更新日期:2017-08-01 00:00:00

  • Managing highly insulin-resistant diabetes mellitus: weight loss approaches and medical management.

    abstract::The prevalence of obesity and diabetes is epidemic. Severe insulin resistance (defined as the need for > or = 200 units of insulin per day to achieve glycemic control) is commonly seen with obesity and can complicate diabetes management. The management of patients with diabetes who have severe insulin resistance is di...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2010.01.2110

    authors: Brown A,Desai M,Taneja D,Tannock LR

    更新日期:2010-01-01 00:00:00

  • A practical approach to disorders of hemostasis.

    abstract::Simple screening tests are available to detect abnormalities in the plasma coagulation system and platelet function. Prothrombin time reflects the integrity of the extrinsic system, while activated partial thromboplastin time indicates whether the intrinsic system is intact. Thrombin clotting time is a measure of the ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1981.11715704

    authors: Horwitz CA

    更新日期:1981-03-01 00:00:00

  • When is pulmonary artery catheterization worth the risks?

    abstract::Bedside pulmonary artery catheterization has proven to be an important addition to the clinical assessment of critically ill patients. Properly used, the procedure may provide hemodynamic information that is not apparent from physical examination or radiography. It may be safely accomplished through various venous rou...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1991.11700825

    authors: Zimmerman FH

    更新日期:1991-02-01 00:00:00

  • Emergency management of cocaine intoxication. Counteracting the effects of today's 'favorite drug'.

    abstract::The toxic effects of cocaine are becoming more widely recognized as the popularity of the drug increases. Although overdose is usually fatal, treatment is available for users who experience agitation, seizure, arrhythmias, severe hypertension, or other side effects. Hospital admission is often necessary to allow monit...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701173

    authors: Lobl JK,Carbone LD

    更新日期:1992-01-01 00:00:00

  • Otitis media with effusion in infants and children. Primary care concerns addressed from an otolaryngologist's perspective.

    abstract::In 90% of children, otitis media with effusion resolves within 3 months. When it persists longer, it is considered chronic. Initial treatment of chronic otitis media with effusion is repeated courses of antibiotics, and a short course of steroids may be appropriate. Use of antihistamines and decongestants has not been...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Terris MH,Magit AE,Davidson TM

    更新日期:1995-01-01 00:00:00

  • Drug use in renal failure.

    abstract::The spectrum of interaction between drugs and the kidney is broad. Most drugs are excreted at least partially by the kidney, and renal function affects drug bioavailability, volume of drug distribution, and drug metabolism and rate of drug elimination. Drug therapy not only is potentially hazardous in patients with re...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1978.11714978

    authors: Henrich WL,Anderson RJ

    更新日期:1978-11-01 00:00:00

  • Raisins compared with other snack effects on glycemia and blood pressure: a randomized, controlled trial.

    abstract:OBJECTIVE:To compare effects of raisin snacks with conventional snacks on glycemia and cardiovascular risk factors. MATERIALS AND METHODS:A 12-week, randomized, controlled trial compared 3-times-a-day consumption of raisins with intake of processed snacks on glycemia and cardiovascular risk factors. Men and women were...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.3810/pgm.2014.01.2723

    authors: Anderson JW,Weiter KM,Christian AL,Ritchey MB,Bays HE

    更新日期:2014-01-01 00:00:00

  • Cushing's syndrome. How to pinpoint and treat the underlying cause.

    abstract::In addition to prolonged glucocorticoid therapy (not discussed here), at least five other conditions cause Cushing's syndrome. They are excessive corticotropin secretion by the pituitary gland (which results in Cushing's disease), ectopic production of corticotropin by malignant nonpituitary tumors, benign adrenal ade...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1989.11704497

    authors: Felicetta JV

    更新日期:1989-12-01 00:00:00

  • Fertility and cancer therapy.

    abstract::With increased survival of increasing numbers of cancer patients as a result of therapy, the consequences, early and late, of the therapies must be realized. It is the treating physician's duty to preserve as much reproductive potential as possible for patients, consistent with adequate care. With radiotherapy this me...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715159

    authors: Maguire LC

    更新日期:1979-05-01 00:00:00

  • When to worry about hypoglycemia.

    abstract::The important causes of hypoglycemia unrelated to known diabetes are relatively few. Postprandial hypoglycemia is a relatively benign disorder. Fasting hypoglycemia is more serious and may be caused by metabolic disturbances or tumors. Several hereditary disorders cause hypoglycemia in infants and must be diagnosed an...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1990.11716369

    authors: Felicetta JV

    更新日期:1990-07-01 00:00:00

  • Advances in interventional radiology. The search for less invasive management sparks new approaches.

    abstract::Many new, minimally invasive interventional radiology procedures are now viable alternatives to traditional invasive therapy. The radiology procedures can often be performed in the outpatient setting, and although expensive technology may be required, the overall cost to the patient may be lower in the long run. Endov...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2001.06.958

    authors: Montgomery ML,Sullivan JP

    更新日期:2001-06-01 00:00:00

  • Common disorders of pigmentation: when are more than cosmetic cover-ups required?

    abstract::The many types of pigmentation disorders may present in diverse forms and distributions and have various causes. They can be inherited (eg, vitiligo, familial periorbital hyperpigmentation), acquired (eg, postinflammatory pityriasis alba, idiopathic guttate hypomelanosis, Becker's nevus, melasma), infectious (eg, tine...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hacker SM

    更新日期:1996-06-01 00:00:00

  • The many guises of amyloidosis. Clinical presentations and disease associations.

    abstract::Amyloidosis occurs in association with many diseases and can also be idiopathic. It is usually a systemic disease with variable presentations. The diagnosis should be suspected in patients with unexplained proteinuria, cardiomyopathy, congestive heart failure, peripheral neuropathy, carpal tunnel syndrome, macroglossi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Vogelgesang SA,Klipple GL

    更新日期:1994-10-01 00:00:00

  • Gastrointestinal foreign bodies. When to remove them, when to watch and wait.

    abstract::By being aware of which patients are at high risk for ingestion or insertion of foreign bodies, physicians can be on the lookout for objects in the gastrointestinal tract and ready to institute initial care. Esophageal foreign bodies and other objects that increase the chance of perforation or obstruction may require ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1992.11701481

    authors: Clarkston WK

    更新日期:1992-10-01 00:00:00

  • Key issues in nutrition. Supplementation through adulthood and old age.

    abstract::A varied and balanced diet is usually adequate to meet the energy, protein, vitamin, and mineral requirements of adults and the elderly. However, some high-risk groups may require supplementation or special dietary recommendations. Some examples are persons on a weight-loss diet, alcoholics, premenopausal women, women...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699819

    authors: Fahey PJ,Boltri JM,Monk JS

    更新日期:1987-05-01 00:00:00

  • Genetic causes and workup of male and female infertility. 3. Details of the clinical evaluation.

    abstract::In the evaluation of male and female infertility the history, family history, physical examination, and endocrine and gonadal functional evaluations are the most informative measures. The cause of the infertility is never found in some 17.5% of couples and in almost one fourth of males. In over one third of cases male...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715204

    authors: Opitz JM,Shapiro SS,Uehling DT

    更新日期:1979-07-01 00:00:00

  • Reiter's syndrome. A possibility in patients with reactive arthritis.

    abstract::Reiter's syndrome is an often overlooked and misdiagnosed complex of symptoms. Patients may not present with the classic triad of symptoms, or they may forget to mention other pertinent manifestations. How can you make an accurate diagnosis? And what is an effective approach to management? Dr Kirchner reviews studies ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Kirchner JT

    更新日期:1995-03-01 00:00:00

  • Oral complications of bone marrow transplantation in adults with acute leukemia.

    abstract::In recent years bone marrow transplantation has become increasingly feasible for treating adult acute leukemia unresponsive to chemotherapy. However, the technique is not without significant intrinsic morbidity. The mouth is a singularly sensitive reflector of the cytotoxic, infectious, and hemorrhagic complications a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715304

    authors: Dreizen S,McCredie KB,Dicke KA,Zander AR,Peters LJ

    更新日期:1979-11-01 00:00:00

  • Gallstone symptoms. Myth and reality.

    abstract::Gallstones are very common, but at least two thirds of detected stones are asymptomatic and a large number undoubtedly go undetected. The presence of symptoms or complications is the indication for surgery. It is important to accurately identify which symptoms are caused by gallstones, because removing the gallbladder...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11701076

    authors: Egbert AM

    更新日期:1991-10-01 00:00:00

  • Lactose intolerance. Pinpointing the source of nonspecific gastrointestinal symptoms.

    abstract::Lactose intolerance is a common condition that can cause nonspecific gastrointestinal symptoms. A reliable diagnosis cannot be made on the basis of the patient's history. The breath hydrogen test is simple, noninvasive, accurate, and inexpensive and is the diagnostic method of choice. In addition to traditional dietar...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11700961

    authors: Montes RG,Perman JA

    更新日期:1991-06-01 00:00:00

  • Acute renal failure. 1. Classification, evaluation, and clinical consequences.

    abstract::Urinalysis and urine chemistries are most helpful in determining whether acute renal failure is due to a prerenal, renal, or postrenal cause. A plain film of the abdomen should be obtained, with ultrasound or computed tomography also being done if obstruction is suspected. When prerenal and postrenal causes have been ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1982.11716292

    authors: Harter HR,Martin KJ

    更新日期:1982-12-01 00:00:00

  • Arthritis and the gut.

    abstract::The term "enteropathic arthritis" describes joint manifestations that occur in conjunction with gastrointestinal disease. Underlying causes include inflammatory bowel disease, reactive arthritis, iatrogenic disease. Whipple's disease, and other gastrointestinal diseases. A possible association between Reiter's syndrom...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1989.11704368

    authors: Finch W

    更新日期:1989-08-01 00:00:00

  • Thymoma. The most common anterior mediastinal mass.

    abstract::Thymomas may be discovered during routine evaluation, through reported symptoms, or increasingly, during evaluation for myasthenia gravis. Histologic details of these tumors have little bearing on prognosis or evaluation of malignant potential. Malignancy is determined by evidence of invasion through the tumor capsule...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699321

    authors: Cohen DJ

    更新日期:1986-03-01 00:00:00