Angina Frequency Linked to Depression, Anxiety _ Medpage Today.pdf

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Angina Frequency Linked to

Depression, Anxiety

2COMMENTSCARDIOVASCULAR 06.29.2009

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gina Frequency Linked to Depression, Anxiety | Medpage Today http://www.medpagetoday.com/Cardiology/CoronaryArteryDisease/14898

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PRINCETON, June 29 -- Ischemic heart patients with depression and anxiety were

more likely to suffer chest pain than patients without those psychosocial

symptoms, a new study shows.

The findings, published in the June 30 edition of Circulation, suggest that angina

associated with blocked arteries may also have a psychosocial component.

Coronary artery disease patients with even moderate anxiety were four times morelikely to have angina (95% CI 1.91 to 11.66, P=0.001), while patients with clinical

depression were three times more likely to have frequent angina (95% CI 1.45 to

6.69, P=0.004).

The results suggested that some patients' anginal symptoms might have a

psychosomatic origin and not be directly related to the extent of their heart

disease, wrote Mark Sullivan, MD, PhD, a professor at the University ofWashington School of Medicine, and colleagues.

"Among patients with a similar burden of inducible ischemia, a history of

coronary revascularization and current anxiety and depressive symptoms were

associated with more frequent angina," they wrote.

"These results support the study of angina treatment strategies that aim to reduce

psychosocial distress in conjunction with efforts to lessen myocardial ischemia."

The researchers assessed 788 patients (mean age 63) who were undergoing

single-photo emission computed tomography stress imaging at two Seattle

hospitals between April 2004 and 2006.

by Chris EmeryContributing Writer, MedPage Today


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New Hypertension Recs Planned in2016

AHA/ACC recommendations will replace JNC

schema.

0COMMENTSCARDIOVASCULAR 02.17.2015

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An update to the 12-year-old JNC 7 recommendations for hypertension

management is underway and expected out in 2016, the American Heart

Association and American College of Cardiology announced.

Those organizations officially took over the reins in 2013on the suite of national

cardiovascular prevention guidelines formerly managed by National Heart, Lung

and Blood Institute (NHLBI) writing groups.

The last official report from the NHLBI Joint National Committee on Prevention,

Evaluation, and Treatment of High Blood Pressure (JNC 7) came in 2003.

Panel members who had been appointed to release what would have been JNC 8

went ahead and released an unofficial report on hypertension management in

2014, but its recommendations have been contentious.

That has particularly been the case for its loosening of the antihypertensive

treatment thresholdfrom 140 mmHg to 150 mmHg for older adultsand from 130

mmHg to 140 mmHg for those with diabetesor chronic kidney disease. Recent

analyses have suggested potential for poorer outcomes in both cases.

The new report, to be known as the 2016 Guideline on the Management of

Hypertension, will involve a separate evidence review committeeto generate a

systematic review for specific critical questions.

The AHA and ACC declined to specify what those questions might be.

However, if the first product of the new guideline arrangement -- a set released in

November 2013 that included controversial lipid recommendationsthat did away

with LDL targets and a much criticized cardiovascular risk calculator-- was any

clue, the coming hypertension recommendations might not see an end to thedissension.

byCrystal PhendSenior Staff Writer, MedPage

Today


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Angina Frequency Linked to Depression, Anxiety _ Medpage Today.pdf