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Wick LL. Depression and Heart Failure Assessment, Treatment, and Interventions to Improve Self-Care Behaviors. Crit Care Nurs Clin North Am 2022; 34:157-164. [DOI: 10.1016/j.cnc.2022.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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2
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Mental involvement in heart failure. Rev Port Cardiol 2021; 40:557-559. [PMID: 34392897 DOI: 10.1016/j.repce.2021.07.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Mental involvement in heart failure. Rev Port Cardiol 2021. [PMID: 34083100 DOI: 10.1016/j.repc.2021.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Abstract
Heart and brain disorders more frequently co-exist than by chance alone, due to having common risk factors and a degree of interaction. In the setting of heart failure (HF) in the elderly strokes, dementia, and depression are all common and can produce a particularly difficult series of clinical problems to manage. Loss of ability to self-care can lead to very poor quality of life and a dramatic increase in health care expenditure. The Heart Failure Association of the ESC as part of its workshop on physiological monitoring of the complex multi-morbid HF patient reviewed screening, monitoring, prevention, and management of cognitive decline within the setting of HF.
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Affiliation(s)
- Wolfram Doehner
- Department of Cardiology Campus Virchow, Berlin Institute of Health Center for Regenerative Therapies, Charité - Universitätsmedizin Berlin, Föhrer Str. 15, 13353 Berlin, Germany.,Center for Stroke Research Berlin, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
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Yeh HF, Shao JH. Depression in Community-Dwelling Elderly Patients With Heart Failure. Arch Psychiatr Nurs 2018; 32:248-255. [PMID: 29579520 DOI: 10.1016/j.apnu.2017.11.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 10/30/2017] [Accepted: 11/02/2017] [Indexed: 10/18/2022]
Abstract
The present cross-sectional study discussed the relationship between comorbid depression, demographic characteristics, clinical characteristics, and dietary self-efficacy among Taiwanese community-dwelling elderly patients with heart failure (HF). Specifically, the study examined 175 community-dwelling elderly patients with HF between July 2013 and June 2014. In total, 47.13% of the patients exhibited symptoms of depression. Those without a spouse, who were currently employed, who had an ejection fraction <30%, who had been readmitted to the hospital 2 or more times, and who had a high level of HF symptom distress were significantly more likely to be depressed. Therefore, it is crucial that care programs designed for these patients include the self-management of HF symptoms, psychological consultations, cognitive behavioral therapy, and physical exercise.
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Affiliation(s)
- Hsiang-Fen Yeh
- Nursing Department, Tzu Chi University of Science and Technology, Taiwan.
| | - Jung-Hua Shao
- School of Nursing, College of Medicine, Chang Gung University; Department of Orthopedics, Chang Gung Memorial Hospital, Linkou, Taiwan.
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Abstract
Heart failure (HF) is a complex disease with a growing incidence worldwide. HF is accompanied by a wide range of conditions which affect disease progression, functional performance and contribute to growing healthcare costs. The interactions between a failing myocardium and altered cerebral functions contribute to the symptoms experienced by patients with HF, affecting many comorbidities and causing a poor prognosis. This article provides a condensed version of the 2018 position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association. It addresses the reciprocal impact on HF of several pathological brain conditions, including acute and chronic low perfusion of the brain, and impairment of higher cortical and brain stem functions. Treatment-related interactions - medical, interventional and device-related - are also discussed.
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Affiliation(s)
- Nadja Scherbakov
- Centre for Stroke Research Berlin, Charité University Hospital Berlin, Germany.,German Centre for Heart and Cardiovascular Research (DZHK), Partner Site Berlin, Charité University Hospital Berlin, Germany
| | - Wolfram Doehner
- Centre for Stroke Research Berlin, Charité University Hospital Berlin, Germany.,German Centre for Heart and Cardiovascular Research (DZHK), Partner Site Berlin, Charité University Hospital Berlin, Germany.,Division of Cardiology and Metabolism, Department of Cardiology, Charité University Hospital Berlin, Germany
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9
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Doehner W, Ural D, Haeusler KG, Čelutkienė J, Bestetti R, Cavusoglu Y, Peña-Duque MA, Glavas D, Iacoviello M, Laufs U, Alvear RM, Mbakwem A, Piepoli MF, Rosen SD, Tsivgoulis G, Vitale C, Yilmaz MB, Anker SD, Filippatos G, Seferovic P, Coats AJS, Ruschitzka F. Heart and brain interaction in patients with heart failure: overview and proposal for a taxonomy. A position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association. Eur J Heart Fail 2017; 20:199-215. [PMID: 29280256 DOI: 10.1002/ejhf.1100] [Citation(s) in RCA: 120] [Impact Index Per Article: 17.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Revised: 10/23/2017] [Accepted: 11/08/2017] [Indexed: 12/16/2022] Open
Abstract
Heart failure (HF) is a complex clinical syndrome with multiple interactions between the failing myocardium and cerebral (dys-)functions. Bi-directional feedback interactions between the heart and the brain are inherent in the pathophysiology of HF: (i) the impaired cardiac function affects cerebral structure and functional capacity, and (ii) neuronal signals impact on the cardiovascular continuum. These interactions contribute to the symptomatic presentation of HF patients and affect many co-morbidities of HF. Moreover, neuro-cardiac feedback signals significantly promote aggravation and further progression of HF and are causal in the poor prognosis of HF. The diversity and complexity of heart and brain interactions make it difficult to develop a comprehensive overview. In this paper a systematic approach is proposed to develop a comprehensive atlas of related conditions, signals and disease mechanisms of the interactions between the heart and the brain in HF. The proposed taxonomy is based on pathophysiological principles. Impaired perfusion of the brain may represent one major category, with acute (cardio-embolic) or chronic (haemodynamic failure) low perfusion being sub-categories with mostly different consequences (i.e. ischaemic stroke or cognitive impairment, respectively). Further categories include impairment of higher cortical function (mood, cognition), of brain stem function (sympathetic over-activation, neuro-cardiac reflexes). Treatment-related interactions could be categorized as medical, interventional and device-related interactions. Also interactions due to specific diseases are categorized. A methodical approach to categorize the interdependency of heart and brain may help to integrate individual research areas into an overall picture.
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Affiliation(s)
- Wolfram Doehner
- Center for Stroke Research Berlin (CSB), Charité - Universitätsmedizin Berlin, Germany.,Division of Cardiology and Metabolism, Department of Cardiology (CVK), Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Charité - Universitätsmedizin Berlin, Germany.,Berlin-Brandenburg Center for Regenerative Therapies (BCRT), Charité - Universitätsmedizin Berlin, Germany
| | - Dilek Ural
- Department of Cardiology, Koc University School of Medicine, Istanbul, Turkey
| | - Karl Georg Haeusler
- Center for Stroke Research Berlin (CSB), Charité - Universitätsmedizin Berlin, Germany.,Department of Neurology, Charité - Universitätsmedizin Berlin, Germany
| | - Jelena Čelutkienė
- Clinic of Cardiac and Vascular Diseases, Centre of Cardiology, Vilnius University, Lithuania
| | - Reinaldo Bestetti
- Department of Medicine, University of Ribeirão Preto, Ribeirão Preto, Brazil
| | - Yuksel Cavusoglu
- Cardiology Department, Eskisehir Osmangazi University, Eskisehir, Turkey
| | | | - Duska Glavas
- Cardiology Department, University Hospital Split, Croatia
| | - Massimo Iacoviello
- University Cardiology Unit, Cardiothoracic Department, University Hospital, Bari, Italy
| | - Ulrich Laufs
- Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Leipzig, Germany
| | | | - Amam Mbakwem
- College of Medicine, University of Lagos, Lagos, Nigeria
| | - Massimo F Piepoli
- Heart Failure Unit, Cardiology, G. da Saliceto Hospital, Piacenza, Italy
| | - Stuart D Rosen
- Ealing and Royal Brompton Hospitals and NHLI, Imperial College, London, UK
| | | | - Cristiana Vitale
- Department of Medical Science, IRCCS San Raffaele Pisana, Rome, Italy
| | - M Birhan Yilmaz
- Department of Cardiology, Faculty of Medicine Cumhuriyet University, Sivas, Turkey
| | - Stefan D Anker
- Division of Cardiology and Metabolism, Department of Cardiology (CVK), Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Charité - Universitätsmedizin Berlin, Germany.,Berlin-Brandenburg Center for Regenerative Therapies (BCRT), Charité - Universitätsmedizin Berlin, Germany.,Department of Cardiology and Pneumology, University of Göttingen Medical Center, Göttingen, Germany
| | - Gerasimos Filippatos
- Attikon University Hospital, National & Kapodistrian University of Athens, Athens, Greece
| | - Petar Seferovic
- University of Belgrade, Faculty of Medicine, Clinical Center of Serbia, Belgrade, Serbia
| | - Andrew J S Coats
- Department of Medical Sciences, IRCCS San Raffaele Pisana, Rome, Italy
| | - Frank Ruschitzka
- University Heart Center, Department of Cardiology, University Hospital Zurich, Zurich, Switzerland
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Liao H, Chiu C, Ko Y, Chen H. Factors associated with demoralisation syndrome in patients before and after cardiac surgery. J Clin Nurs 2017; 27:e559-e568. [DOI: 10.1111/jocn.14094] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Hsiu‐Yun Liao
- School of Nursing Kaohsiung Medical University Kaohsiung Taiwan
| | - Chaw‐Chi Chiu
- Department of Surgery Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung Taiwan
| | - Ying‐Ying Ko
- Department of Nursing Kaohsiung Medical University Hospital Kaohsiung Medical University Kaohsiung Taiwan
| | - Hsing‐Mei Chen
- Department of Nursing College of Medicine National Cheng Kung University Tainan Taiwan
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Hopper I, Kotecha D, Chin KL, Mentz RJ, von Lueder TG. Comorbidities in Heart Failure: Are There Gender Differences? Curr Heart Fail Rep 2016; 13:1-12. [DOI: 10.1007/s11897-016-0280-1] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Ferreira VMP, Silva LN, Furuya RK, Schmidt A, Rossi LA, Dantas RAS. Self-Care, Sense Of Coherence And Depression In Patients Hospitalized For Decompensated Heart Failure. Rev Esc Enferm USP 2015; 49:388-94. [DOI: 10.1590/s0080-623420150000300005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Accepted: 02/25/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze the self-care behaviors according to gender, the symptoms of depression and sense of coherence and compare the measurements of depression and sense of coherence according to gender. METHOD A correlational, cross-sectional study that investigated 132 patients with decompensated heart failure (HF). Data were collected through interviews and consultation to medical records, and analyzed using the chi-square and the Student's t tests with significance level of 0.05. Participants were 75 men and 57 women, aged 63.2 years on average (SD = 13.8). RESULTS No differences in self-care behavior by gender were found, except for rest after physical activity (p = 0.017). Patients who practiced physical activity showed fewer symptoms of depression (p<0.001). There were no differences in sense of coherence according to self-care behavior and gender. Women had more symptoms of depression than men (p = 0.002). CONCLUSION Special attention should be given to women with HF considering self-care and depressive symptoms.
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Piepenburg SM, Faller H, Gelbrich G, Störk S, Warrings B, Ertl G, Angermann CE. Comparative potential of the 2-item versus the 9-item patient health questionnaire to predict death or rehospitalization in heart failure. Circ Heart Fail 2015; 8:464-72. [PMID: 25878325 DOI: 10.1161/circheartfailure.114.001488] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2014] [Accepted: 06/02/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND Depression is common in heart failure and associated with adverse clinical outcomes. We investigated the potential of the 2-item patient health questionnaire (PHQ-2) versus that of the 9-item version (PHQ-9) to predict death or rehospitalization. METHODS AND RESULTS Participants of the Interdisciplinary Network for Heart Failure program were eligible, if they completed the PHQ-9 during baseline assessment. All participants were hospitalized for cardiac decompensation and had a left ventricular ejection fraction ≤40% before discharge. PHQ-2 scores were extracted from the answers to the first 2 PHQ-9 questions. To analyze associations of PHQ-2 and PHQ-9 with both, death and rehospitalization, univariable Cox regression models were used. To compare screening efficacy of both tools, c-statistics were computed. The sample consisted of 852 patients, (67.6±12.1 years; 27.7% women; 42.3% New York Heart Association class III/IV). Follow-up was 18 months (100% complete). During follow-up, 152 patients died and 482 were rehospitalized. Both, PHQ-2 and PHQ-9, predicted death in univariable analysis (hazard ratio, 1.18; 95% confidence interval, 1.09-1.29; P<0.001 and hazard ratio, 1.07; 95% confidence interval, 1.04-1.09; P<0.001, respectively), as well as rehospitalization (hazard ratio, 1.07; confidence interval, 1.01-1.21; P=0.02 and hazard ratio, 1.03; confidence interval, 1.01-1.04; P=0.001, respectively). These results were confirmed by c-statistics. CONCLUSIONS In univariable models and confirmed by c-statistics the potential of both PHQ-2 and PHQ-9 to predict death and hospitalization was similar. In clinical practice, PHQ-2 screening seems thus sufficiently reliable and more feasible than the time-consuming PHQ-9 to identify patients at an increased risk of adverse outcomes. CLINICAL TRIAL REGISTRATION URL: http://www.controlled-trials.com. Unique identifier: ISRCTN 23325295.
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Affiliation(s)
- Sven M Piepenburg
- From the Comprehensive Heart Failure Center (S.M.P., S.S., G.E., C.E.A.), Department of Medicine I (S.M.P., S.S., G.E., C.E.A.), Clinical Trial Center Würzburg (G.G.), and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy (B.W.), University Hospital Würzburg, Würzburg, Germany; and Department of Medical Psychology, Medical Sociology and Rehabilitation Sciences (H.F.) and Institute of Clinical Epidemiology and Biometry (G.G.), University of Würzburg, Würzburg, Germany
| | - Hermann Faller
- From the Comprehensive Heart Failure Center (S.M.P., S.S., G.E., C.E.A.), Department of Medicine I (S.M.P., S.S., G.E., C.E.A.), Clinical Trial Center Würzburg (G.G.), and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy (B.W.), University Hospital Würzburg, Würzburg, Germany; and Department of Medical Psychology, Medical Sociology and Rehabilitation Sciences (H.F.) and Institute of Clinical Epidemiology and Biometry (G.G.), University of Würzburg, Würzburg, Germany
| | - Götz Gelbrich
- From the Comprehensive Heart Failure Center (S.M.P., S.S., G.E., C.E.A.), Department of Medicine I (S.M.P., S.S., G.E., C.E.A.), Clinical Trial Center Würzburg (G.G.), and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy (B.W.), University Hospital Würzburg, Würzburg, Germany; and Department of Medical Psychology, Medical Sociology and Rehabilitation Sciences (H.F.) and Institute of Clinical Epidemiology and Biometry (G.G.), University of Würzburg, Würzburg, Germany
| | - Stefan Störk
- From the Comprehensive Heart Failure Center (S.M.P., S.S., G.E., C.E.A.), Department of Medicine I (S.M.P., S.S., G.E., C.E.A.), Clinical Trial Center Würzburg (G.G.), and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy (B.W.), University Hospital Würzburg, Würzburg, Germany; and Department of Medical Psychology, Medical Sociology and Rehabilitation Sciences (H.F.) and Institute of Clinical Epidemiology and Biometry (G.G.), University of Würzburg, Würzburg, Germany
| | - Bodo Warrings
- From the Comprehensive Heart Failure Center (S.M.P., S.S., G.E., C.E.A.), Department of Medicine I (S.M.P., S.S., G.E., C.E.A.), Clinical Trial Center Würzburg (G.G.), and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy (B.W.), University Hospital Würzburg, Würzburg, Germany; and Department of Medical Psychology, Medical Sociology and Rehabilitation Sciences (H.F.) and Institute of Clinical Epidemiology and Biometry (G.G.), University of Würzburg, Würzburg, Germany
| | - Georg Ertl
- From the Comprehensive Heart Failure Center (S.M.P., S.S., G.E., C.E.A.), Department of Medicine I (S.M.P., S.S., G.E., C.E.A.), Clinical Trial Center Würzburg (G.G.), and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy (B.W.), University Hospital Würzburg, Würzburg, Germany; and Department of Medical Psychology, Medical Sociology and Rehabilitation Sciences (H.F.) and Institute of Clinical Epidemiology and Biometry (G.G.), University of Würzburg, Würzburg, Germany
| | - Christiane E Angermann
- From the Comprehensive Heart Failure Center (S.M.P., S.S., G.E., C.E.A.), Department of Medicine I (S.M.P., S.S., G.E., C.E.A.), Clinical Trial Center Würzburg (G.G.), and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy (B.W.), University Hospital Würzburg, Würzburg, Germany; and Department of Medical Psychology, Medical Sociology and Rehabilitation Sciences (H.F.) and Institute of Clinical Epidemiology and Biometry (G.G.), University of Würzburg, Würzburg, Germany.
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American Association of Heart Failure Nurses Position Paper on Educating Patients with Heart Failure. Heart Lung 2015; 44:173-7. [DOI: 10.1016/j.hrtlng.2015.01.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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