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Critical care clinics · Jul 2017
ReviewPsychiatric Aspects of Heart Disease (and Cardiac Aspects of Psychiatric Disease) in Critical Care.
- Peter A Shapiro.
- Department of Psychiatry, Columbia University Medical Center, College of Physicians and Surgeons, Columbia University, 622 West 168 Street Box 427, New York, NY 10032, USA; Consultation-Liaison Psychiatry Service, New York-Presbyterian Hospital Columbia University Medical Center, 622 West 168 Street, New York, NY 10032, USA. Electronic address: pas3@cumc.columbia.edu.
- Crit Care Clin. 2017 Jul 1; 33 (3): 619-634.
AbstractStrong emotional reactions are common in patients admitted to cardiac critical care; only some are pathological. Cardiac critical care and associated technologies are associated with predictable psychiatric problems. Many occur as secondary complications of the medical status of the patient, which must be carefully assessed. Depression is common in patients with coronary disease and also for patients with heart failure; treatment is helpful, but persistent depression is associated with elevated morbidity and mortality. Preexisting psychiatric disorders may predispose to heart disease, and they and their treatment may affect critical care management.Copyright © 2017 Elsevier Inc. All rights reserved.
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