心脏病发作之后的心情沮丧是一种严重的疾病

根据一项最新研究显示，五分之一的心脏病发作住院患者会出现严重的心情沮丧。

这些心情沮丧患者与其他心脏病发作患者相比，在1年之内由于心脏问题而需要住院治疗的可能性要高50%，在将来死于心衰或者其他心脏相关性疾病的可能性要高3倍。

Johns Hopkins大学医学院和心脏研究所副教授、心脏病专家、该项研究的共同作者David Bush医生指出：“尽管在医院内没有时间对心脏病发作患者进行全面的心理状态评估，但是对心情沮丧状况进行评估十分重要，因为这将会影响患者生活质量和将来的治疗。”

为普通患者在72小时之后逐渐康复并准备出院，而且心情沮丧症状出现的较晚，因此很难区分出那些最可能出现这些症状的患者。根据该项研究的共同作者、Johns Hopkins的心脏科医生Roy Ziegelstein的说法，心脏病发作之后出现心情沮丧症状是神经激素、生理变化和感觉知觉之间极其复杂的相互作用引起的，是医学研究的对象。

Ziegelstein医生解释说：“这种症状远不是一种短期的单纯的悲伤或忧郁。我们所谈论的是一种严重的疾病。”
 
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.