Interdisciplinary stepped care for depression after acute coronary syndrome.

摘要

Depression has long been recognized as a risk factor for developing cardiovascular disease in healthy individuals, for recurrent events in patients with established cardiovascular disease, and for adverse outcomes after coronary bypass surgery. The World Health Organization highlighted the detrimental effects of depression on medical illnesses as 1 of its 10 most important global public health problems for 2007. These findings have ignited a debate regarding whether routine screening for and treatment of depression can improve the prognosis of patients with cardiovascular disease.