根據(jù)一項(xiàng)最新研究顯示，五分之一的心臟病發(fā)作住院患者會(huì)出現(xiàn)嚴(yán)重的心情沮喪。

這些心情沮喪患者與其他心臟病發(fā)作患者相比，在1年之內(nèi)由于心臟問題而需要住院治療的可能性要高50%，在將來死于心衰或者其他心臟相關(guān)性疾病的可能性要高3倍。

Johns Hopkins大學(xué)醫(yī)學(xué)院和心臟研究所副教授、心臟病專家、該項(xiàng)研究的共同作者David Bush醫(yī)生指出：“盡管在醫(yī)院內(nèi)沒有時(shí)間對心臟病發(fā)作患者進(jìn)行全面的心理狀態(tài)評估，但是對心情沮喪狀況進(jìn)行評估十分重要，因?yàn)檫@將會(huì)影響患者生活質(zhì)量和將來的治療。”

為普通患者在72小時(shí)之后逐漸康復(fù)并準(zhǔn)備出院，而且心情沮喪癥狀出現(xiàn)的較晚，因此很難區(qū)分出那些最可能出現(xiàn)這些癥狀的患者。根據(jù)該項(xiàng)研究的共同作者、Johns Hopkins的心臟科醫(yī)生Roy Ziegelstein的說法，心臟病發(fā)作之后出現(xiàn)心情沮喪癥狀是神經(jīng)激素、生理變化和感覺知覺之間極其復(fù)雜的相互作用引起的，是醫(yī)學(xué)研究的對象。

Ziegelstein醫(yī)生解釋說：“這種癥狀遠(yuǎn)不是一種短期的單純的悲傷或憂郁。我們所談?wù)摰氖且环N嚴(yán)重的疾病。”
 
Depression Often Follows Heart Attack
 
One in five patients hospitalized for a heart attack experiences a major depression, according to a new study.

These depressed patients are 50% more likely than other heart attack patients to need hospital care for a heart problem within a year and are three times more likely to die from a future heart attack or other heart-related condition.

“Although there is not much time to do a full psychiatric assessment of heart attack patients in the hospital, it is important to evaluate for depression because of the impact on the patient’s quality of life and future medical health,” noted study co-lead author and cardiologist, David Bush, M.D., associate professor at The Johns Hopkins University School of Medicine and its Heart Institute (Baltimore, MD, USA).

Since the average patient is recuperating and ready to leave the hospital after 72 hours and depression symptoms develop much later, it is difficult to distinguish those patients who are most likely to become depressed. According to co-lead study author Roy Ziegelstein, M.D., a cardiologist at Johns Hopkins, depression after heart attack is a complex interaction of neural hormones, biologic changes, and sensory perceptions that medicine has only begun to study.

“It is far more complex an issue that just being sad or feeling blue for a short period. What we’re talking about here is a serious illness,” explained Dr. Ziegelstein.