Concerns about Heart Disease and Depression

Although depression is not a major contributor to heart disease, persons who have cardiovascular disease may be more likely to feel depressed. Persons with heart disease who are depressed may be less likely to take necessary medications for treating their heart condition. Signs of depression may include decreased interest in activities or feelings of hopelessness over time. If either of these is present, treatment for depression may be recommended. Other potential symptoms of depression include decreased energy, difficulty sleeping, and difficulty concentrating.

It may take several weeks for antidepressant medications to begin to take effect. Therapy, along with prescription medications, can also help persons experiencing depression. Exercise and relaxation techniques may contribute to improving symptoms. Antidepressant medications include selective serotonin reuptake inhibitors (SSRIs) and selective norepinephrine reuptake inhibitors (SNRIs). Typically, SSRIs are a first choice of antidepressant because they generally cause fewer side effects. Fluoxetine (Prozac) and sertraline (Zoloft) are SSRIs that may be prescribed as a first treatment option in persons with depression. Venlafaxine (Effexor) is an SNRI that also may be prescribed.