ARRHYTHMIAS IN ACUTE AND PERSISTENT DEPRESSION IN PATIENTS WITH MYOCARDIAL INFARCTION

Autor/autori: Mariana TUDORAN, Cristina TUDORAN, Rodica AVRAM, Florina PARV, Mihai BALINT, Tudor CIOCARLIE, Iulian AVRAM

Rezumat: Depresia acuta si persistenta este recunoscuta ca un factor de risc pentru boala coronariana. La aproximativ 40-65% dintre pacientii cu infarct miocardic, identificam simptome semnificative de depresie. Depresia este frecvent persistenta si exacerbeaza simptomele cardiace. Creste frecventa aritmiilorsi a anginei, morbiditatea si mortalitatea (prin moarte subita). Terapia cu antidepresive, de tipul inhibitorilor recaptarii serotoninei, amelioreaza depresia si are efect favorabil asupra simptomelor cardiovasculare, a morbiditatii si a mortalitatii.

Cuvinte cheie: depresie acuta si pesistenta, aritmii, infarct miocardic.

Abstract: Acute and persistent depression is recognized as a risk factor for coronary artery disease. Significant depressive symptoms are found in 40-65 percent of patients with myocardial infarction. Depression is often persistent and exacerbates cardiac symptoms. It increases the frequency of arrhythmias, angina, morbidity and mortality (through sudden cardiac death). The therapy with serotonin reuptake inhibitor antidepressants improves depression and has favorable effects on the severity of cardiovascular symptoms, on morbidity and mortality.

Keywords: acute and persistent depression, arrhythmias, myocardial infarction

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