Symptoms of Depression May Increase Risk of Heart Failure

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New research suggests that depression may hasten the progression of heart disease by increasing the levels of a key protein that causes inflammation. In a study of 32 people with heart failure, the 14 patients who felt the most depressed had nearly twice the levels of this protein in their blood.

New research from Ohio State University underscores the potential link between symptoms of depression and the incidence of heart failure.

The results, published in a recent issue of the American Heart Journal, suggest that depression is associated with increased levels of a cytokine tumour necrosis factor alpha (TNF-alpha); cytokines can cause inflammation as part of the body’s response to injury or infection. This normal part of the inflammatory response can worsen heart failure, making it harder for the heart to pump blood.

However, it is still not clear which direction causation flows — whether depression increases the risk of heart failure, or whether heart failure increases the risk of depression. According to Amy Ferketich, the study’s lead author:

Depression clearly raises the levels of one cytokine, which plays a role in increasing inflammation. What we don’t know for sure is if depression causes the inflammation which may lead to heart failure or if heart failure causes depression which accelerates inflammation.

A study at Duke University found that patients with major depression are twice as likely to die or to be re-admitted to the hospital a second time within 12 months. Ferketich goes on:

Patients with heart disease are prone to developing depression. Physicians need to pay more attention to this. But research still needs to be done to find out if treating patients with anti-depressants would help to actually slow the progression of heart disease.

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About the Author: With an educational background in philosophy and mathematics, as well as in counselling, Dr Mulhauser enjoys publishing CounsellingResource.com, providing online counselling and therapy services, and spending time with his family.

This article was last reviewed by Dr Greg Mulhauser, Managing Editor on Friday, 9th September 2005. You can leave a reply below.

The URL of this page is:
http://counsellingresource.com/features/2005/09/09/depression-heart-failure/

2 Responses to “Symptoms of Depression May Increase Risk of Heart Failure”

  1. avatar image
    Dima
    1

    I am not sure what i have to be honest i have a problem in sleeping ( not in feeling sleepy) i feel sleepy and i have no problem in that part,what i have problem with is sleeping without fear, i feel so scared of sleeping


  2. avatar image
    Managing Editor
    2

    Hi Dima,

    That sounds pretty scary, especially with sleep being something that comes around every single day. I believe there’s even a name for the fear of falling asleep — hypnophobia. (Not that giving it a name is necessarily helpful in any way…)

    All the best,
    Greg


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