Psychiatric Consultation in a Coronary Care Unit

The Influence of Anxiety and Depression on Outcomes of Patients With Coronary Artery Disease

“…45,46 Furthermore, the vast majority of these patients go undiagnosed and undertreated or are not treated at all. 47 Anxiety may cause a variety of physiological responses; several studies suggest that anxiety exerts a significant acute and chronic influence on outcomes following ACS ( Table 3 45 suggested that patients with acute MI and a high level of inhospital anxiety (assessed via the Brief Symptom Inventory 51 ) had an almost 5-fold increase in risk for recurrent ischemia, reinfarction, or death compared with patients with MI without high levels of anxiety.…”

Clínica e terapêutica da doença de Chagas: uma abordagem prática para o clínico geral

“…Ainda que a experiência com essas drogas seja limitada, os estudos clínicos e um estudo retrospectivo não reportaram alterações clínicas significativas sobre o sistema cardiovascular, assim como não se verificaram alterações relevantes no ECG. Portanto, à luz dos conhecimentos atuais, essas drogas parecem não apresentar problemas como os tricíclicos em relação ao paciente cardiopata, não tendo sido relatado HO ou anormalidades do sistema de condução, o que as torna opção segura ao cardiopata chagásico (Bojar et al, 1983;Cassem & Hackett, 1971). Vale ressaltar que o uso concomitante de substâncias fortemente ligadas a proteínas plasmáticas (warfarin e digitoxina) pode levar a aumento da droga livre.…”

Variables affecting the reporting of pain following an acute myocardial infarction

“…While anxiety is felt to be the most predominate emotional response (Byrne, 1987;Thoms et al, 1983), denial and depression have also been documented (Froese, Hackett, Cassem & Silverberg, 1974). Cassem and Hackett's (1971) classic study of 145 CCU patients referred for psychiatric consultation described an approximate timetable for the onset of emotional reactions to an AMI.…”

“…Depression tended to occur on days three through five, and by day five or six the patient usually resumed his usual personality and emotional pattern (Cassem & Hackett, 1971). Froese, Hackett, Cassem, and Silverberg (1974) studied 36 patients with an AMI and classified 17 of them as "deniers".…”