John Macoviak MD On Depression and Heart Disease

Heart disease and depression are the most disabling diseases one can face. Researchers believe that both go hand in hand and coincide in the same individual. Many people with no history of depression become depressed immediately following heart failure. Those who have depression, seem to develop heart disease at a higher rate than those who don’t. One in five patients who suffer a heart attack is found to have depression shortly after.

People who are diagnosed with depression feel a sense of hopelessness, sadness, and have a loss of interest that lasts for weeks. Depression and heart disease are so common that it’s typical that a person would have both conditions together. Depression at times is very debilitating, and it’s vital to get treatment right away. Depression not only affects the brain, but it changes the entire body as well. It is linked to inflammation which can rupture cholesterol-filled plaque and clog arteries. Depression also increases the production of stress hormones which can slow down blood flow to the heart. It activates platelets that are likely to form blood clots. Chronic depression will make it impossible to get regular exercise and maintain a healthy diet. Both are necessary for life to prevent heart disease.

After a heart attack, it’s normal for a patient to feel symptoms of depression and anxiety. Heart valve or bypass surgery takes months to recover from, and it can take a toll on a person’s mental health. The American Heart Association listed a statement in 2014 stating that depression is a risk factor for unstable angina or a heart attack. It causes changes in hormonal balance and the nervous system which increases the chance of arrhythmia. Heart rhythm problems occur when impulses that coordinate your heartbeats cause your heart to beat too slow, too fast, or irregularly. Arrhythmias can feel like your heart is racing or fluttering.

Heart attacks have a psychological impact and can affect several aspects of someone’s life including confidence, attitude, the certainty of the future, embarrassment, and self-doubt. There are several types of support available to those recovering from a cardiac event. These include treatment by psychiatrists, cardiac rehabilitation,and through social groups. In cardiac rehab, you will be closely monitored during treadmill tests, and have a nutrition plan specifically developed for your heart recovery.