Journal Article

Prevalence of Antidepressant Prescription or Use in Patients with Acute Coronary Syndrome: A Systematic Review

Steele, Russell J., Smith, Cheri, Coffie, Diana-Frances, Czarny, Matthew J., Thombs, Brett D., Arthurs, Erin, Ziegelstein, Roy C.

2011

Overview

Depression is common among acute coronary syndrome (ACS) patients and is associated with poor prognosis. Cardiac side effects of older antidepressants were well-known, but newer antidepressants are generally thought of as safe to use in patients with heart disease. The objective was to assess rates of antidepressant use or prescription to patients within a year of an ACS. PubMed, PsycINFO, and CINAHL databases searched through May 29, 2009; manual searching of 33 journals from May 2009 to September 2010. Articles in any language were included if they reported point or period prevalence of antidepressant use or prescription in the 12 months prior or subsequent to an ACS for ≥100 patients. Two investigators independently selected studies for inclusion/exclusion and extracted methodological characteristics and outcomes from included studies (study setting, inclusion/exclusion criteria, sample size, prevalence of antidepressant prescription/use, method of assessing antidepressant prescription/use, time period of assessment). A total of 24 articles were included. The majority were from North America and Europe, and most utilized chart review or self-report to assess antidepressant use or prescription. Although there was substantial heterogeneity in results, overall, rates of antidepressant use or prescription increased from less than 5% prior to 1995 to 10-15% after 2000. In general, studies from North America reported substantially higher rates than studies from Europe, approximately 5% higher among studies that used chart or self-report data. Antidepressant use or prescription has increased considerably, and by 2005 approximately 10% to 15% of ACS patients were prescribed or using one of these drugs.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Acute Coronary Syndrome - drug therapy / Acute Coronary Syndrome - epidemiology / Acute coronary syndromes / Aged / Antidepressants / Antidepressive Agents - therapeutic use / Calendars / Cardiac patients / Cardiovascular disease / Cardiovascular diseases / Care and treatment / Coronary artery disease / Coronary heart disease / Coronary vessels / Databases as Topic / Disease prevention / Drug Prescriptions - statistics & numerical data / Drugs / Epidemiology / Female / Heart / Heart diseases / Heart surgery / Heterogeneity / Hospitals / Humans / Ischemia / Male / Medical libraries / Medical research / Medicine / Mental depression / Mortality / Online searching / Patients / Pharmacy / Prevalence / Prognosis / Psychotropic drugs / Science Policy / Serotonin / Side effects / Task forces / Tricyclic antidepressants / Validation studies / Womens health