Open AccessDiagnosis and Treatment of Depression in Patients With Congestive Heart Failure
Author(s) -
James K. Rustad,
Theodore A. Stern,
Kathy Hebert,
Dominique L. Musselman
Publication year - 2013
Publication title -
primary care companion to cns disorders/the primary care companion for cns disorders
Language(s) - English
Resource type - Journals
eISSN - 2155-7772
pISSN - 2155-7780
DOI - 10.4088/pcc.13r01511
Subject(s) - heart failure , medicine , depression (economics) , tolerability , cardiology , intensive care medicine , adverse effect , economics , macroeconomics
Major depressive disorder (MDD) can be challenging to diagnose in patients with congestive heart failure, who often suffer from fatigue, insomnia, weight changes, and other neurovegetative symptoms that overlap with those of depression. Pathophysiologic mechanisms (eg, inflammation, autonomic nervous system dysfunction, cardiac arrhythmias, and altered platelet function) connect depression and congestive heart failure.