Clinical and prognostic implications of self-rating depression scales and plasma B-type natriuretic peptide in hospitalised patients with chronic heart failure

Abstract

CHF patients with depressive symptoms have impaired physical activity, associated with excessive neurohormonal activation. Among the studied scales, Zung SDS seemed to independently predict clinical outcome, especially in patients with increased plasma BNP concentration. Hence, the combination of those two modalities provides a practical means for risk stratification in CHF.

Relationship of Depressive Symptoms With Hospitalization and Death in Japanese Patients With Heart Failure

“…Age and BNP were included in the model by forced entry. In the present study, BNP was used as a measure to assess the severity of HF with reference to the previous studies, 15 which has emerged as a prognostic marker of HF. 30 The selection methods for other potential prognostic factors are described below.…”

Elevated Depression Symptoms Predict Long-Term Cardiovascular Mortality in Patients With Atrial Fibrillation and Heart Failure

“…Finally, although the depressed participants were less likely to be in AF at baseline and at the 3-week visit than the nondepressed participants, there were no depression-related differences during follow-up in the proportion in sinus rhythm in either the rhythm-or ratecontrol groups (all PϾ0. 24).…”

“…[23][24][25][26][27][28][29] The largest followed up 1006 hospitalized CHF patients for an average of 2.6 years, during which 428 patients died. 29 Participants completed the Beck Depression Inventory (BDI-I) during admission.…”

Psychological distress and mortality in patients with acute dyspnea: data from the Akershus Cardiac Examination (ACE) 2 Study

“…Still, previous studies of patients hospitalized with acute COPD or HF show contradicting results, especially related to symptoms of anxiety [5][6][7][8][9][10][11][12][13][14][15]. These contradicting results reflect the need for additional studies related to the association between psychological distress and outcome in patients with acute dyspnea.…”