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The Role of Depression and Anxiety in Frail Patients with Heart Failure
An increased interest regarding the impact of frailty on the prognosis of cardiovascular disease (CVD) has been observed in the last decade. Frailty is a syndrome characterized by a reduced biological reserve that increases the vulnerability of an individual in relation to stressors. Among the patie...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631213/ https://www.ncbi.nlm.nih.gov/pubmed/31248108 http://dx.doi.org/10.3390/diseases7020045 |
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author | Hiriscau, Elisabeta Ioana Bodolea, Constantin |
author_facet | Hiriscau, Elisabeta Ioana Bodolea, Constantin |
author_sort | Hiriscau, Elisabeta Ioana |
collection | PubMed |
description | An increased interest regarding the impact of frailty on the prognosis of cardiovascular disease (CVD) has been observed in the last decade. Frailty is a syndrome characterized by a reduced biological reserve that increases the vulnerability of an individual in relation to stressors. Among the patients with CVD, a higher incidence of frailty has been reported in those with heart failure (HF). Regardless of its conceptualizations, frailty is generally associated with negative outcomes in HF and an increased risk of mortality. Psychological factors, such as depression and anxiety, increase the risk of negative outcomes on the cardiac function and mortality. Depression and anxiety are found to be common factors impacting the heart disease and quality of life (QoL) in patients with HF. Depression is considered an independent risk factor of cardiac-related incidents and death, and a strong predictor of rehospitalization. Anxiety seems to be an adequate predictor only in conjunction with depression. The relationship between psychological factors (depression and anxiety) and frailty in HF has hardly been documented. The aim of this paper is to review the reported data from relevant studies regarding the impact of depression and anxiety, and their effects on clinical outcomes and prognosis in frail patients with HF. |
format | Online Article Text |
id | pubmed-6631213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-66312132019-08-19 The Role of Depression and Anxiety in Frail Patients with Heart Failure Hiriscau, Elisabeta Ioana Bodolea, Constantin Diseases Review An increased interest regarding the impact of frailty on the prognosis of cardiovascular disease (CVD) has been observed in the last decade. Frailty is a syndrome characterized by a reduced biological reserve that increases the vulnerability of an individual in relation to stressors. Among the patients with CVD, a higher incidence of frailty has been reported in those with heart failure (HF). Regardless of its conceptualizations, frailty is generally associated with negative outcomes in HF and an increased risk of mortality. Psychological factors, such as depression and anxiety, increase the risk of negative outcomes on the cardiac function and mortality. Depression and anxiety are found to be common factors impacting the heart disease and quality of life (QoL) in patients with HF. Depression is considered an independent risk factor of cardiac-related incidents and death, and a strong predictor of rehospitalization. Anxiety seems to be an adequate predictor only in conjunction with depression. The relationship between psychological factors (depression and anxiety) and frailty in HF has hardly been documented. The aim of this paper is to review the reported data from relevant studies regarding the impact of depression and anxiety, and their effects on clinical outcomes and prognosis in frail patients with HF. MDPI 2019-06-19 /pmc/articles/PMC6631213/ /pubmed/31248108 http://dx.doi.org/10.3390/diseases7020045 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Hiriscau, Elisabeta Ioana Bodolea, Constantin The Role of Depression and Anxiety in Frail Patients with Heart Failure |
title | The Role of Depression and Anxiety in Frail Patients with Heart Failure |
title_full | The Role of Depression and Anxiety in Frail Patients with Heart Failure |
title_fullStr | The Role of Depression and Anxiety in Frail Patients with Heart Failure |
title_full_unstemmed | The Role of Depression and Anxiety in Frail Patients with Heart Failure |
title_short | The Role of Depression and Anxiety in Frail Patients with Heart Failure |
title_sort | role of depression and anxiety in frail patients with heart failure |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6631213/ https://www.ncbi.nlm.nih.gov/pubmed/31248108 http://dx.doi.org/10.3390/diseases7020045 |
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