A CRITICAL REVIEW AND LOCAL AUDIT OF THE PREVALENCE OF MENTAL ILL-HEALTH IN HEART FAILURE PATIENTS

MARIAM AHMED; HANA MORRISSEY; PATRICK ANTHONY BALL

doi:10.22159/ijpps.2020v12i5.37159

Authors

MARIAM AHMED School of Pharmacy, Faculty of Science and Engineering, University of Wolverhampton, United Kingdom
HANA MORRISSEY School of Pharmacy, Faculty of Science and Engineering, University of Wolverhampton, United Kingdom https://orcid.org/0000-0001-9752-537X
PATRICK ANTHONY BALL School of Pharmacy, Faculty of Science and Engineering, University of Wolverhampton, United Kingdom http://orcid.org/0000-0001-8918-2119

DOI:

https://doi.org/10.22159/ijpps.2020v12i5.37159

Keywords:

Independent prescribing pharmacist, Heart Failure, Depression, Anxiety, Primary Health Care, General Practice

Abstract

Objective: To establish if depression results in poor adherence to therapy in patients with heart diseases.

Methods: This concept scoping study was conducted in two phases; the first was a systematic review of the literature, and the second part was local data analysis. Statistical analysis was performed using RevMan® V.5.3 (Cochrane Community).

Results: Patients who received multidisciplinary collaborative care showed significantly reduced major adverse cardiac outcomes in patients with cardiovascular diseases. They also demonstrated higher rates of self-reported remission of depression. The review also showed endpoint mortality after PCI was associated with patients having depression. Local population data showed that 26% of heart failure patients had mental ill health comorbidity, however, only 12% had a formal diagnosis recorded.

Conclusion: Depression is associated with poor cardiac outcomes in patients with coronary artery disease. It is widespread in patients with cardiovascular disease and must be screened for throughout the management plan.

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