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Depression, anxiety can spike heart failure risk

Gorkha Post

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WASHINGTON — Experts from across the globe have said that there is a Pathophysiological relationship between heart failure and depression and anxiety.

According to the latest study by Harvard Review of Psychiatry, about one-third of people who have fallen into traps of depression and anxiety are at higher risk of progressive heart diseases.

Christopher Celano, MD, of Massachusetts General Hospital and colleagues were of the view that both anxiety and depression remain under-recognized and untreated in patients suffering from heart failure or cardiac attack.

He further said that at times, it becomes challenging for medical practitioners to identify the symptoms of heart failure as there is a significant overlap between psychiatric symptoms and those related to heart failure.

“Making the effort can help to identify those who are at higher risk for poor cardiac outcomes and to implement the treatment of these disorders,” Celano said.

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The victims of heart failure suffering from depression and anxiety also find it difficult to follow the recommended diet, exercise routine, and medication use. Studies have also linked depression to metabolic changes, including increased levels of inflammatory markers.

While conducting the study, the researchers found that one-third of people having heart failure have elevated symptoms of depression on standard questionnaires, while nineteen percent meet diagnostic criteria for major depression or other depressive disorders.

The study also revealed that even a healthy person suffering from mild depression is also likely to develop heart failure.

Notably, these researchers have raised the need for further research on effective treatments for the large group of people suffering from heart failure accompanied by depression and anxiety.

Celano and co-authors conclude, “It is likely that an aggressive, multimodal treatment approach – such as collaborative care models or stepped care from a mental health professional — will be needed to improve psychiatric and cardiac health in this high-risk population.”

The study appeared in the journal Harvard Review of Psychiatry.

ANI

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Regular bedtime beneficial for heart and metabolic health among older adults

Raghu Kshitiz

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KATHMANDU — Sufficient sleep has been proven to help keep the body healthy and the mind sharp. But a new study on sleep patterns has suggested that a regular bedtime and wake time are just as important for heart and metabolic health among older adults too.

Researchers at Duke Health and the Duke Clinical Research Institute, in a study of 1,978 older adults, have found that people with irregular sleep patterns weighed more, had higher blood sugar, higher blood pressure, and a higher projected risk of having a heart attack or stroke within 10 years than those who slept and woke at the same times every day.

The study  was published Sept 21 in the journal Scientific Reports.

“From our study, we can’t conclude that sleep irregularity results in health risks, or whether health conditions affect sleep,” said study’s lead author Jessica Lunsford-Avery.

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“Perhaps all of these things are impacting each other.”

African-Americans had the most irregular sleep patterns compared to participants who were white, Chinese-American or Hispanic, the data showed.

Still, the data suggest tracking sleep regularity could help identify people at risk of disease, and where health disparities may impact specific groups.

Irregular sleepers were also more likely to report depression and stress than regular sleepers, both of which are tied to heart health.

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