Men with heart failure have worse long-term survival in severe depression, bipolar disorder, and schizophrenia, according to a new study that encourages doctors to change treatments for people with mental illness.
Previous studies have shown that people with these conditions have high blood pressure, diabetes, and heart attack..But little was known about how to do it. heart failureIf the heart is unable to pump enough blood to meet the needs of the body, it is calculated in an equation. The new study was published in the journal of the American Heart Association on September 30th. Circulation: Heart failure..
Researchers surveyed more than 20,000 people with heart failure at the Duke University Health System between 2002 and 2017. During the median follow-up of 7 years, Depression, Bipolar disorder Or schizophrenia was 36% more likely to die for any reason than those who did not. The 10-year risk of death increased from 54.8% for men without mental illness to 64.3% for men with mental illness.
However, in the case of women, researchers did not see a significant difference in mortality risk between those with and without severe mental illness. health hindrance.
The study found that people with severe depression, bipolar disorder, and schizophrenia were on average seven years younger at the time of diagnosis of heart failure than those who did not. 60 years old vs. 67 years old. Devices and heart transplants had a high post-procedure mortality rate.
Dr. Christopher Polkwiartek, lead author of the study, said physicians and heart failure professionals need to be better aware of their patients’ mental health problems and take early precautionary measures.
To reduce the overall burden of heart failure in this population, Polwiartek encouraged heart failure specialists to work with psychiatrists, cardiac rhythm specialists, and general practitioners to take an interdisciplinary approach.
The study points out that European and US guidelines for the treatment of heart failure recommend screening and treatment of depression, but not other severe mental illnesses. hindrance.. Polwiartek, a medical intern at the Danish Arvorg University Hospital, said his advice needed to be updated. “The guidelines need to emphasize that not only depression, but some mental illnesses of all kinds are associated with a poor prognosis for long-term heart failure.”
James Blumental, Clinical psychologist Those who were not involved in the study said it was an important study suggesting that physicians need to assess the patient’s mental health in addition to assessing more traditional risk factors for heart failure. I called.
But the findings raised more questions than answers, he said.
“Why did serious mental illness increase the risk of men with heart failure? Why was there no difference in mortality between women with and without serious mental illness? Women compared to men Were you more likely to receive psychiatric treatment? ”Bromental, JP Gibbons professor of psychiatry and behavioral science at Duke University School of Medicine in Durham, North Carolina, said. To answer these questions, he said, further investigation is needed in multiple settings that represent a wide range of people from different backgrounds.
Given less than 20% of severely ill patients, Blumental said the findings also raise the question of whether mental status was properly treated. Mental illness I was taking antidepressants or antipsychotics.
“Medically ill patients’ lack of awareness and treatment of their mental state is a serious problem that requires greater attention,” he said.
In January, AHA issued a scientific statement urging physicians to assess the mental health of all heart disease patients and consider prescribing medications or psychotherapy as part of their routine care.
“Clinicians should strive to treat the whole person, not just the disease,” the statement said.
Although the new study emphasizes the need for medical professionals to pay special attention to the links between heart Failure and mental health, patients also need to be vigilant, Blumental said.
People with mental illness and their loved ones should “monitor their condition, such as eating a healthy diet, take prescribed medications, and see a regular doctor to engage in important health behaviors. We need to recognize the importance of this. ” Low-salt diet and regular exercise.
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Severe mental illness can increase the risk of death in men with heart failure
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