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Depression in patients with cardiovascular disease - can be treated safely?

Publication at First Faculty of Medicine |
2021

Abstract

Depressive disorder is important risk factor for onset and development of cardiovascular diseases. It must be diagnosed and treated early and adequately.

Now its evident that depressive symptoms in patients with cardiovascular diseases can be treated effectively and safety and that they can decrease burden of patients with other complications. The first choice of treatment are SSRI antidepressants, but SNRI or other modern antidepressants with specific mechanisms of action can be also used.

During the treatment is necessary use the safety dosage of antidepressants, think of individual risk factors for QT prolongation and severe ventricular arrhythmias and monitoring of electrocardiogram or blood pressure regularly. Healthy lifestyle, food and sleep are integral parts of pathogenesis of depression and cardiovascular diseases.