The Depression Is Associated With Heart Troubles

The Depression Is Associated With Heart Troubles.
Depression is rather stock in patients who undergo heart bypass surgery, and a new study finds that short-term use of antidepressants may support patients' recovery May 2013. "Depression among patients requiring or having undergone sidestep surgery is high and can significantly impact postoperative recovery," said one crackerjack not connected to the study, Dr Bryan Bruno, acting chairman of the department of psychiatry at Lenox Hill Hospital in New York City. In this study, a duo of French researchers looked at 182 patients who started taking a discerning serotonin reuptake inhibitor (SSRI) antidepressant two to three weeks before undergoing coronary artery go graft surgery and continued taking it for six months after the procedure.

SSRIs number widely used antidepressants such as Celexa, Lexapro, Prozac, Paxil and Zoloft. In this study, patients took one 10 milligram tombstone of Lexapro (escitalopram) daily. The reflect on was funded by Lexapro's maker, H Lundbeck A/S. The outcomes of patients prescribed Lexapro were compared to 179 patients who took an dormant placebo as an alternative of the antidepressant.

During the six months after the surgery, the patients who took the antidepressant reported less dejection and better quality of life than those who took the placebo, the researchers reported. In addition, taking antidepressants did not multiplication the risk of complications or death in the year after surgery, according to the study, which appears in the May culmination of the Annals of Thoracic Surgery.

The study suggests that taking the antidepressant "enables patients who were at least degree depressed before surgery for coronary artery disease to feel better more quickly after surgery, without influencing the involvement rate," study leader Dr Sidney Chocron said in a journal news release. "Even minute depression before coronary surgery can delay a patient's mental recovery and boost the feeling of pain after surgery," added Chocron, a professor of cardiac surgery at University Hospital Jean Minjoz in Besancon.

Prescribing antidepressants for patients before they have quintessence bypass surgery helps them "get on with their lives more speedily after such a serious surgical procedure," Chocron said in the news release. Bruno agreed that treating even mollifying depression is important. "I agree with the authors' concluding implication that, unless contraindicated, there should be a relatively low threshold - for initiating antidepressant therapy" in these types of mettle patients. But another expert said the study reveals little about the scheme for patients with more severe depression.

So "The mild benefit associated with the use of antidepressants in this study is steady with a population which was not significantly depressed," noted Dr Dan Iosifescu, director of the Mood and Anxiety Disorders Program and confederate professor of psychiatry and neuroscience at Mount Sinai School of Medicine in New York City. He said "the patients in this lessons had depressive symptoms in a run which usually does not qualify for a diagnosis of depression" worldplusmed.net. Therefore, "on balance this study provides pragmatic information on the safety of antidepressants in post- bypass patients but does not contribute to our understanding of their usefulness since the inspect population appears to have very low rates of depression".