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Albus, C.* ; Ladwig, K.-H. ; Herrmann-Lingen, C.*

Psychokardiologie: Praxisrelevante Erkenntnisse und Handlungsempfehlungen.

Psychocardiology: Clinically relevant recommendations regarding selected cardiovascular diseases.

Dtsch. Med. Wochenschr. 139, 596-601 (2014)
DOI PMC
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
Psychosocial risk factors (work stress, low socioeconomic status, impaired social support, anger, anxiety and depression), certain personality traits (e. g. hostility) and post-traumatic stress disorders may negatively influence the incidence and course of multiple cardiovascular disease conditions. Systematic screening for these factors may help to adequately assess the psychosocial risk pattern of a given patient and may also contribute to the treatment of these patients. Recommendations for treatment are based on current guidelines.The physician-patient interaction should basically follow the principle of a patient centered communication and should gender and age specific aspects into consideration. Integrated biopsychosocial care is an effective, low threshold option to treat psycho-social risk factors and should be offered on a regular basis.Patients with high blood pressure may profit from relaxation programs and biofeedback procedures (however with moderate success). An individually adjusted multimodal treatment strategy should be offered to patients with coronary heart disease, heart failure and after heart surgery. It may incorporate educational tools, exercise therapy, motivational modules, relaxation and stress management programs. In case of affective comorbidity, psychotherapy may be indicated. Anti-depressant pharmacotherapy with selective serotonin reuptake inhibitors (SSRIs) in the first line should only be offered to patients with at least moderate severe depressive episodes. Psychotherapy and SSRIs, particularly sertraline, have been proven to be safe and effective with regard to improvements of the patient's quality of life. A prognostic benefit has not been clearly proven so far. Patients with an implanted cardioverter/defibrillator (ICD) should receive psychosocial support on a regular basis. Concomitant psychotherapy and/or psychopharmacotherapy (SSRIs) should be offered in case of a severe mental comorbidity. Generally, tricyclic antidepressants should be avoided in cardiac patients because of adverse side effects.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Herz-kreislauf-erkrankungen ; Psychosoziale Risikofaktoren ; Depression ; Angst ; Psychotherapie ; Psychopharmakotherapie ; Cardiovascular Disorders ; Psychosocial Risk Factors ; Depression ; Anxiety ; Psychotherapy ; Pharmacotherapy; Coronary-heart-disease; Implantable Cardioverter-defibrillators; Quality-of-life; Posttraumatic-stress-disorder; Acute Myocardial-infarction; Randomized-controlled-trial; Psychosocial Risk-factors; Atrial-fibrillation; Secondary Prevention; Depressive Symptoms
Sprache deutsch
Veröffentlichungsjahr 2014
HGF-Berichtsjahr 2014
ISSN (print) / ISBN 0012-0472
e-ISSN 1439-4413
Zeitschrift Deutsche Medizinische Wochenschrift - DMW
Quellenangaben Band: 139, Heft: 12, Seiten: 596-601 Artikelnummer: , Supplement: ,
Verlag Thieme
Verlagsort Stuttgart
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Epidemiology (EPI)
POF Topic(s) 30202 - Environmental Health
Forschungsfeld(er) Genetics and Epidemiology
PSP-Element(e) G-504000-003
PubMed ID 24619718
DOI 10.1055/s-0033-1360102
WOS ID WOS:000333454500010
Scopus ID 84896126066
Erfassungsdatum 2014-03-25
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