Abstract
Epidemiological studies have shown a high prevalence of coronary artery disease among the Indian Population. Due to increasing availability and affordability of tertiary care in many parts of India, carefully selected patients undergo coronary artery bypass surgery to improve cardiac function. However, the procedure is commonly associated with depression and anxiety which can adversely affect overall prognosis. The objective of this review is to highlight early identifiable symptoms of depression and anxiety following coronary artery bypass graft (CABG) in Indian context so as to facilitate prompt intervention for better outcome. The current review was able to establish firm evidence in support of screening for depression and anxiety following CABG. Management of depression and anxiety following CABG is briefly reviewed.
Highlights
World Health Organization (WHO) describes health as a state of complete physical, mental, and social well-being and not merely an absence of disease or infirmity
Psychosomatic medicine acts as a bridge between psychiatry and other medical disciplines
Psychiatrists, practicing on the interface of medicine and psychiatry, often find themselves creating new models of care to cater to local needs based on available resources
Summary
World Health Organization (WHO) describes health as a state of complete physical, mental, and social well-being and not merely an absence of disease or infirmity. The practice often leads to denial of essential medical care with adverse outcomes. Psychiatrists, practicing on the interface of medicine and psychiatry, often find themselves creating new models of care to cater to local needs based on available resources. Vascular psychiatry is a newly emerging concept highlighting the need for psychiatric intervention in patients suffering from diseases of blood vessels [4]. Psychiatrists commonly encounter vascular syndromes, such as vascular depression, vascular cognitive impairment, and depression in heart disease. Psychiatric and vascular disorders occur together indicating common underlying etiopathological mechanisms [5]. Their association extends well into the immediate and long term care. These examples serve as innovative ways to collaborate and integrate comprehensive health care
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