CONSIDERACIONES SOBRE LA DEPRESIÓN COMO FACTOR DE RIESGO EN PACIENTES CARDIOVASCULARES (Considerations of depression as a risk factor in cardiovascular patients)

Mariantonia Lemos, Diana María Agudelo Vélez

Resumen


Numerosos estudios han encontrado una asociación robusta entre los síntomas depresivos o la depresión mayor y un incremento en la morbilidad y la mortalidad cardiaca posterior a un síndrome coronario agudo (SCA); sin embargo, también se ha reportado evidencia en contra. Debido a esta divergencia, la depresión aún no ha sido aceptada por la Asociación Americana del Corazón como un factor de riesgo para un mal pronóstico en pacientes con enfermedades cardiovasculares. En este artículo se aborda el tema de la depresión en pacientes que han tenido un SCA y los factores que pueden influir en la divergencia de los resultados mencionada. Se concluye que la depresión se relaciona con un peor pronóstico en estos pacientes, específicamente cuando su presencia es posterior al evento o se trata de un cuadro resistente al tratamiento. Los síntomas cognitivos y somáticos son indicadores de mal pronóstico, así como la presencia de ansiedad comórbida.

Palabras clave: Depresión, Enfermedad Cardiovascular, Psicología de la Salud, Síndrome Coronario Agudo.

 

Abstract

Studies have found a strong association between depressive symptoms and major depression and cardiac morbidity and mortality increased after acute coronary syndrome (ACS); however it has also been reported evidence against this association. This difference in results may explain why depression has not yet been accepted by the American Heart Association as a risk factor for poor prognosis in patients with CVD. In this article depression is discussed as a risk factor of poor prognosis in patients who have had ACS and the factors that may influence the divergence of results in the studies. Our conclusions show that depression is related with a worse prognosis in ACS patients specifically when the symptomatology occurred after the event or when it is a treatment-resistant disorder. Cognitive and somatic symptoms and also comorbid anxiety are bad prognosis indicators.

 

Acute Coronary Syndrome, Cardiovascular Disease, Cardiovascular Disorders; Depression, Health Care Psychology, Health Psychology, Heart Disorders.


Palabras clave


Depresión; Enfermedad Cardiovascular; Síndrome Coronario Agudo

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