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- W1627542227 abstract "Resumo Este trabalho trata da relacao entre depressao e doenca cardiovascular (DCV), a qual tem relevância na piora clinica de pacientes portadores de insuficiencia cardiaca (IC), bem como no aumento da taxa de hospitalizacoes e morbimortalidade. A depressao e mais prevalente em pacientes com IC que na populacao em geral, devido a hipoteses sobre o aumento da estimulacao neuro-hormonal e das citocinas, mesmo em presenca de menor comprometimento cardiaco. Os desfechos clinicos negativos oriundos desta associacao levam ao onus publico e social. Esta revisao abordara os mecanismos psicossociais e fisiopatologicos determinantes desta associacao, bem como o tratamento, o diagnostico e prevencao da depressao em pacientes com insuficiencia cardiaca. Espera-se suscitar reflexoes sobre o cuidado clinico dos portadores de IC, considerando seus estressores psicossociais de adaptacao para melhor monitoramento, logo, deteccao precoce desta associacao. Insuf Card 2011;(Vol 6) 4:170-178 Palavras-chave: Insuficiencia cardiaca - Depressao - Mortalidade Summary Depression and heart failure: an association with negative outcomes This paper deals with the relationship between depression and cardiovascular disease, which has relevance to clinical worsening in patients with heart failure (HF), as well as increased rate of hospitalizations and mortality. Depression is more prevalent in patients with HF in the general population, due to assumptions about the increased neurohormonal stimulation and cytokines, even in the presence of minor cardiac involvement. Outcomes from this negative association lead to public and social burden. This review will discuss the pathophysiological mechanisms and psychosocial determinants of this association, as well as treatment, diagnosis and prevention of depression in patients with heart failure. Expected to generate reflections on the clinical care of patients with HF, considering its adaptation to psychosocial stressors better monitoring, so early detection of this association." @default.
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- W1627542227 date "2011-01-10" @default.
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- W1627542227 title "Insuficiência cardíaca e depressão: uma associação com desfechos negativos" @default.
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