Depression after myocardial infarction (MI) is extremely common, affecting almost half of all patients. The combination of MI and depression reduces the chance of recovery and makes it much more likely that patients will have another cardiac event. Depressed patients are also less likely to get back to work and they use health services more than those who are not depressed. We carried out a survey to investigate the perceptions, attitudes and skills of primary care practitioners in recognising and treating depression in patients following an MI to explore how this important co-morbidity is managed in practice. Readers of the British Journal of Primary Care Nursing (BJPCN) were invited to participate in an online survey, together with readers of the Primary Care Cardiovascular Journal. The survey results show that although primary healthcare practitioners realise that depression after MI is a significant problem, many underestimate quite how common it is and have received little or no training in recognising or managing depression.
Painkillers considered harmless by the general public are associated with increased risk of cardiac arrest, according to recent research.
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This second article focuses on safe and effective prescribing of medications which will reduce risk of further cardiovascular events. This series provides a 'hands on' practical guide to conducting medication reviews of long-term cardiovascular conditions. In this issue, we look at how to ensure post-myocardial infarction patients are taking the right medications at the right doses to ensure they get maximum benefit.
Primary angioplasty is now recognised as the best treatment for clearing a blocked coronary artery after an ST segment elevation myocardial infarction (STEMI) and increasing numbers of patients will undergo this procedure as it becomes more available. In this article, we explore what is involved in primary angioplasty, what you need to tell to your patients and how to care for them after this procedure.
Rehabilitation after a myocardial infarction (MI) includes all aspects of a patient's life – medical, physical and social. Sexual functioning is an important part of most people's lives. Fears about whether having sexual intercourse could trigger another heart attack is the question many post-MI patients want to ask but embarrassment may stop them. Giving accurate information about sex after an MI is just as much a part of patient education as telling them about cholesterol and blood pressure and can go a long way to helping recovery and preventing further problems such as sexual dysfunction.
Treatment for erectile dysfunction (ED) with phosphodiesterase-5 (PDE5) inhibitors is associated with a markedly reduced risk of death, and hospitalisation for heart failure. A team from the Karolinksa Institute in Stockholm conducted a nationwide cohort study which included over 43,000 men with a first MI in Sweden.