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    Home > Food News > Nutrition News > Nearly 1 in 5 people with heart disease use mental health medication

    Nearly 1 in 5 people with heart disease use mental health medication

    • Last Update: 2022-01-23
    • Source: Internet
    • Author: User
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    Sophia Antipolis, 11 January 2022: According to a study published today in the European Journal of Cardiovascular Nursing sponsored by the European Society of Cardiology (ESC) Antidepressants and other psychotropic drugs are linked to nearly double the risk of premature death in people with heart disease, study

    "Our study shows that psychotropic drug use is common among patients with heart disease
    .
    In addition, almost one-third of patients have symptoms of anxiety

    .
    Heart patients should be systematically assessed for psychiatric disorders and asked whether they use psychotropic drugs and why," said study author Dr Pernille Fevejle Cromhout of Copenhagen University Hospital in Denmark

    .

    "It's important to remember that taking psychotropic drugs is a sign of a mental disorder, which itself may increase the risk of death," said Dr.
    Krenholt

    .
    "Further studies are needed to assess whether the higher mortality is due to psychotropic medication use or an underlying psychiatric disorder

    .
    "

    Previous research has found an association between anxiety symptoms in people with heart disease and poor health outcomes, including death
    .
    This study explored whether this link could be explained by the use of psychotropic substances

    .

    The study included 12,913 patients hospitalized for ischemic heart disease, arrhythmia, heart failure or valve disease from the DenHeart National Survey
    .
    Participants completed a questionnaire upon discharge and were classified as having anxiety symptoms if they scored 8 or higher on the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A)

    .

    Information on drugs is obtained through national registries
    .
    Patients were defined as psychotropic drug users if they had collected at least one prescription for benzodiazepines, antidepressants, or antipsychotics in the 6 months prior to admission

    .
    Patients who died from various causes were followed up for 1 year after discharge

    .

    The researchers found that 2,335 participants (18%) had purchased at least one prescription for psychotropic medication in the 6 months prior to admission
    .
    The most commonly used drugs were benzodiazepines (68%) and antidepressants (55%)

    .
    The use of psychotropic drugs was higher among women, older patients, smokers, widowed patients, patients with less education, and patients with more common health problems

    .

    Nearly one-third of people with heart disease (32%) were classified as having an anxiety disorder
    .
    Psychotropic medication use was twice as high among those with anxiety (28%) as among those without anxiety (14%)

    .

    A total of 362 patients (3%) died within one year of discharge
    .
    One-year mortality was significantly higher among psychotropic drug users (6%) than among nonusers (2%)

    .
    After adjusting for age, sex, cardiac diagnosis, coexisting status, smoking status, body mass index, education level, and marital status, a 1.
    90 percent higher risk of all-cause death in the 6 months before admission and one year after discharge with a prescription for psychotropic medication times the odds

    .
    During the same period, the presence of anxiety was associated with a higher all-cause mortality rate of 1.
    81

    .

    The association became weaker when the analysis was also adjusted to prehospital psychotropic medication use and the presence of anxiety
    .
    Psychotropic substance use was associated with 1.
    73 higher odds of death and 1.
    67 higher odds of death

    .
    Dr Kromholt explained: "The weakening of this relationship suggests that the link between psychotropic medication and death is influenced by anxiety

    .
    Likewise, the link between anxiety and death is also influenced by psychotropic medication use

    .
    "

    She continued: "Cardiac patients with anxiety disorders should inform health care professionals of their course of treatment as they would for other comorbid conditions
    .
    They should also require that their anxiety is considered significant in relation to their cardiac disease.
    equally important

    .
    "

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