Heart Patients Should Be Screened, Treated for Depression

Studies show that depression is about three times more common in patients following a heart attack than in the general community. Heart patients should be screened for depression, and treated if necessary. Heart patients should be screened for depression - a common condition that can profoundly affect both prognosis and quality of life -according to the American Heart Association's first scientific statement on depression and coronary heart disease. The statement was published in Circulation: Journal of the American Heart Association.

The recommendations, which are endorsed by the American Psychiatric Association, include:

-early and repeated screening for depression in heart patients;
the use of two questions to screen patients -if depression is suspected the remaining questions are asked ( 9 questions total );
coordinated follow-up for both heart disease and depressive symptoms in patients who have both.

“The statement was prompted by the growing body of evidence that shows a link between depression in cardiac patients and a poorer long-term outlook,” said Erika Froelicher, R.N., M.A., M.P.H., Ph.D., a professor at the University of California San Francisco, School of Nursing and Medicine and co-chair of the writing group. Dale Briggs, who experienced depression after his heart valve surgery, said the statement is welcome news. “I think it’s long overdue. It is unfortunate that some patients aren’t warned of the possibility of some depression after surgery,” he said.

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Zyprexa and Seroquel Side Effects May Increase Heart Disease Risk

New research suggests that Zyprexa and Seroquel may increase the risk of heart disease when compared to other antipyschotic medications.

Eli Lilly’s Zyprexa (olanzapine) and AstraZeneca’s Seroquel (quetiapine fumarate) are both blockbuster medications which are part of a class of drugs known as “atypical” antipsychotics. They are commonly used to treat symptoms of schizophrenia, but have also been widely used for other conditions like bipolar disorder, dementia, autism and obsessive-compulsive disorders.

Both drugs have previously been linked to a number of serious side effects, including severe weight gain, diabetes and pancreatitis. However, a new study published in the October 2008 issue of the journal Schizophrenia Research raises the potential for concerns about a small increased risk of coronary heart disease associated with the drugs.

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