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Open Access The ‘physical-mental’ treatment of cardiovascular disease co-morbid with mental disorders

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A 47-year-old woman complained of sudden chest tightness, shortness of breath, palpitations and a severe headache. Her highest blood pressure had reached 200/120 mmHg before and was diagnosed as hypertension. One month ago, the results of her cranial CT scan showed multiple lacunar cerebral infarctions. She then complained of insomnia, extreme fatigue, poor appetite, loss of interest in everything and paid more attention to her blood pressure and measured blood pressure over five times per day at home. The patient went to visit a psychologist who drew the conclusion of depression. She took sertraline (50 mg once a day) and followed up with the psychologist in the following 2 weeks. During the last month, she has taken 30-mg nifedipine controlled-release tablets once a day and the blood pressure was well-controlled. More attention should be paid to the mental status of patients with cardiovascular disease. There are many screening tools to assess depression in cardiovascular disease patients. The ‘physical-mental’ treatment of cardiovascular disease cannot be conducted at one time and follow-ups are necessary.

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Keywords: Hypertension; mental disorder; physical-mental; treatment

Document Type: Research Article

Publication date: 01 December 2013

This article was made available online on 10 November 2014 as a Fast Track article with title: "The ‘physical-mental’ treatment of cardiovascular disease co-morbid with mental disorders".

More about this publication?
  • Family Medicine and Community Health (FMCH) is an open-access journal focusing on subjects that are common and relevant to family medicine/general practice and community health. The journal publishes relevant content across disciplines such as epidemiology, public health, social and preventive medicine, research and evidence based medicine, community health service, patient education and health promotion and health ethics. The journal has a specific focus on the management of chronic illness particularly diabetes, ischaemic heart disease, chronic heart failure, hypertension, bronchial asthma, chronic obstructive airways disease and common mental illness. FMCH is published by Compuscript on behalf of the Chinese General Practice Press

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