{"id":118996,"date":"2015-05-25T11:00:12","date_gmt":"2015-05-25T11:00:12","guid":{"rendered":"http:\/\/4cd.e16.myftpupload.com\/?p=118996"},"modified":"2015-05-25T10:36:59","modified_gmt":"2015-05-25T10:36:59","slug":"depression-makes-heart-failure-worse","status":"publish","type":"post","link":"https:\/\/citifmonline.com\/2015\/05\/depression-makes-heart-failure-worse\/","title":{"rendered":"Depression makes heart failure worse"},"content":{"rendered":"

People with heart failure must be screened for signs of depression and offered counselling, scientists say.<\/p>\n

A small study presented at the European Society of Cardiology suggested patients with depression were more likely to die within a year.<\/p>\n

Though many factors are likely to influence this – including the severity of the disease – researchers say managing depression is important.<\/p>\n

And charities advise people to seek help through specialist nurses and GPs.<\/p>\n

Prof John Cleland, chief investigator in the study, who works at both Imperial College London and the University of Hull, describes heart failure as a “modern epidemic” that affects 900,000 people across the UK.<\/p>\n

But despite trying to find better drugs and improved procedures there is no cure, Prof Cleland told the BBC: “Being heart specialists we have focused on trying to find medicines, devices, and operations.”<\/p>\n

“They work but not as well as we would like. So we have decided to step back and look at the bigger picture,” he added.<\/p>\n

Higher death risk?<\/strong><\/p>\n

Heart failure can happen when the the muscle of the heart becomes too weak or too stiff, making it harder to pump blood around the body.<\/p>\n

And as this becomes worse patients can feel very tired and short of breath.<\/p>\n

As part of a continuing investigation, Prof Cleland’s team asked 96 patients, who had been admitted to hospital with heart failure, a series of questions to assess whether they were depressed.<\/p>\n

Those who showed signs of moderate or severe depression were more likely to have died in the 300 days that followed.<\/p>\n

Though this link has been shown before, scientists generally thought this was down to people with depression suffering from a more severe form of the condition.<\/p>\n

While the Hull scientists acknowledge this is likely to play a part, they say it is does not account for the full picture.<\/p>\n

For example, while measuring NT-proBNP – a hormone that can be used to help monitor the severity of the disease – they found little difference between people who had severe depression and those who did not.<\/p>\n

It is likely that other factors are important as well; some people with depression may not feel motivated to take their pills or seek help quickly, scientists suggest.<\/p>\n

Researchers say these questions, and their early findings, need to be explored and evaluated in bigger studies.<\/p>\n

Meanwhile Julie Ward at the British Heart Foundation, said: “We know depression is both a risk factor for heart disease and is often experienced by people who have had a major heart event.”<\/p>\n

“Every person with a long-term physical health condition, like heart disease, should be treated for both their physical and psychological symptoms equally.<\/p>\n

“Talk to your GP or heart specialist nurse and discuss the options that could be available to you,” she said.<\/p>\n

–<\/p>\n

Source: BBC<\/p>\n","protected":false},"excerpt":{"rendered":"

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