Antidepressants in the treatment of heart failure is often not suitable

Antidepressants in the treatment of heart failure is often not suitable

Shortness of breath, weakness, fatigue, and water retention in the legs: heart weakness limits the quality of life. Often, Sufferers also suffer from psychological problems such as depression or anxiety. Classical antidepressants are weakness in patients with heart, however, often not suitable or less effective.

"At least a quarter of the patients with heart failure has depressed or anxious Symptome", heart specialist prof Dr med says. Thomas Meinertz from the Scientific Advisory Board of the German heart Foundation. The heavier the heart is a weakness, the higher the risk for mental health problems. Drugs for the treatment of depression not eligible for heart patients but often: Tricyclic antidepressants are not suitable due to vegetative side-effects and the risk of heart rhythm disorders and heart attacks. So-called Selective Serotonin reuptake inhibitors (SSRIs) are better tolerated, but may have adverse interactions with some heart medications. Recent studies that compared SSRI with a placebo, also showed that these medications weakness in many patients with heart the depressive symptoms are not alleviated.

However, there is also for heart patients good ways to treat Depression: "Psychotherapy, especially cognitive-behavioral therapy in combination with regular physical activity, can often be both the mood and the quality of life of cardiac patients verbessern", the cardiologist Prof. Dr. med explained. Christiane E. Angermann from the German centre for heart failure (DZHI). Through the behavior therapy negative thought in the conversation with the therapist patterns and settings to reduce. Physical exercise improves the blood circulation in the brain and the muscles, and thus strengthens the physical and mental capacity of cardiac patients. "All of this has a favorable effect on Depression and their symptoms aus", so anger man.

Those who or a family member depressive symptoms such as depressed mood, insomnia, listlessness, or lack of pleasure, should early consult a doctor for advice. The sooner Depression is detected and treated, the higher the Chance to be healthier and more powerful.


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