Sad hearts in heart failure patients

Shirley Middlemost


Heart failure is a common clinical entity. Because patients with heart failure face high rates of debilitation and mortality, the study of depression characteristics in this population is a critical research area in the pursuit of improved quantity and quality of their lives. Studies have shown that depression is common in heart failure and, interestingly, that both conditions share similar pathobiological mechanisms. Depression in heart failure is a serious co-morbidity. It is a strong predictor of short-term worsening of heart failure symptoms, a decline in health status, mortality and re-hospitalization, independent of baseline ventricular function and severity of cardiovascular disease. Depression remains poorly recognized and under-treated in heart failure. The presence of depression is not random. It is disproportionately diagnosed amongst patients who are female, those suffering more advanced disease, those who are socially isolated and those of low socioeconomic status. Patients should be screened regularly for symptoms of depression. Although effective treatment is available, no studies have been done to show that treatment of depression has a positive impact on heart failure outcome.

Full Text:




  • There are currently no refbacks.

ISSN: 2071-4602 (online) ISSN: 1996-6741 (print)

Copyright © 2017 SA Heart Journal

Hosted by Stellenbosch University Library and Information Service since 2017.

Creative Commons License -CC BY-NC-ND 4.0

This journal is hosted by the SU LIS on request of the journal owner/editor. The SU LIS takes no responsibility for the content published within this journal, and disclaim all liability arising out of the use of or inability to use the information contained herein. We assume no responsibility, and shall not be liable for any breaches of agreement with other publishers/hosts.