Angina Frequency Linked to Depression, Anxiety

Angina Frequency Linked toDepression, Anxiety

2 COMMENTSCARDIOVASCULAR 06.29.2009

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Angina Frequency Linked to Depression, Anxiety http://www.medpagetoday.com/Cardiology/CoronaryArteryDisease/14898

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PRINCETON, June 29 -- Ischemic heart patients with depression and anxiety weremore likely to suffer chest pain than patients without those psychosocialsymptoms, a new study shows.

The findings, published in the June 30 edition of Circulation, suggest that anginaassociated 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 clinicaldepression were three times more likely to have frequent angina (95% CI 1.45 to6.69, P=0.004).

The results suggested that some patients' anginal symptoms might have apsychosomatic origin and not be directly related to the extent of their heartdisease, 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 ofcoronary revascularization and current anxiety and depressive symptoms wereassociated with more frequent angina," they wrote.

"These results support the study of angina treatment strategies that aim to reducepsychosocial distress in conjunction with efforts to lessen myocardial ischemia."

The researchers assessed 788 patients (mean age 63) who were undergoingsingle-photo emission computed tomography stress imaging at two Seattlehospitals 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 JNCschema.

0 COMMENTSCARDIOVASCULAR 02.17.2015

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An update to the 12-year-old JNC 7 recommendations for hypertensionmanagement is underway and expected out in 2016, the American HeartAssociation and American College of Cardiology announced.

Those organizations officially took over the reins in 2013 on the suite of nationalcardiovascular prevention guidelines formerly managed by National Heart, Lungand 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 8went ahead and released an unofficial report on hypertension management in2014, but its recommendations have been contentious.

That has particularly been the case for its loosening of the antihypertensivetreatment threshold from 140 mmHg to 150 mmHg for older adults and from 130mmHg to 140 mmHg for those with diabetes or chronic kidney disease. Recentanalyses have suggested potential for poorer outcomes in both cases.

The new report, to be known as the 2016 Guideline on the Management ofHypertension, will involve a separate evidence review committee to generate asystematic 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 inNovember 2013 that included controversial lipid recommendations that did awaywith LDL targets and a much criticized cardiovascular risk calculator -- was anyclue, the coming hypertension recommendations might not see an end to thedissension.

Nine additional partners who have signed on to the guidelines are: the American

by Crystal PhendSenior Staff Writer, MedPageToday


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Angina Frequency Linked to Depression, Anxiety