Evidence map›Paper›PMID 30108618›Full record

ReviewJournal of geriatric cardiology : JGC2018

Depression and chronic heart failure in the elderly: an intriguing relationship.

Ilaria Liguori, Gennaro Russo, Francesco Curcio, Giuseppe Sasso, David Della-Morte, Gaetano Gargiulo, Flora Pirozzi, Francesco Cacciatore, Domenico Bonaduce, Pasquale Abete and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of geriatric cardiology : JGC, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 46 citations in OpenAlex.

  1. AIDEBMC geriatrics · 2026
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  18. Cognitive impairment and depression in heart failure: 'cardiological giants'.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2021
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  19. Recognition of cognitive impairment and depressive symptoms in older patients with heart failure.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Ilaria LiguoriDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
Gennaro RussoDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
Francesco CurcioDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
Giuseppe SassoDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
David Della-MorteDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Gaetano GargiuloDivision of Internal Medicine, AOU San Giovanni di Dio e Ruggi di Aragona, Salerno, Italy.
Flora PirozziDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
Francesco CacciatoreAzienda Ospedaliera dei Colli, Monaldi Hospital, Heart Transplantation Unit, Naples, Italy.
Domenico BonaduceDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
Pasquale AbeteDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
Gianluca TestaDepartment of Translational Medical Sciences, University of Naples "Federico II", Naples, Italy.
University of Naples Federico II · ITUniversity of Molise · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic heart failure and depressive disorders have a high prevalence and incidence in the elderly. Several studies have shown how depression tends to exacerbate coexisting chronic heart failure and its clinical outcomes and vice versa, especially in the elderly. The negative synergism between chronic heart failure and depression in the elderly may be approached only taking into account the multifaceted pathophysiological characteristics underlying both these conditions, such as behavioural factors, neurohormonal activation, inflammatory mediators, hypercoagulability and vascular damage. Nevertheless, the pathophysiological link between these two conditions is not well established yet. Despite the high prevalence of depression in chronic heart failure elderly patients and its negative prognostic value, it is often unrecognized especially because of shared symptoms. So the screening of mood disorders, using reliable questionnaires, is recommended in elderly patients with chronic heart failure, even if cannot substitute a diagnostic interview by mental health professionals. In this setting, treatment of depression requires a multidisciplinary approach including: psychotherapy, antidepressants, exercise training and electroconvulsive therapy. Pharmacological therapy with selective serotonin reuptake inhibitors, despite conflicting results, improves quality of life but does not guarantee better outcomes. Exercise training is effective in improving quality of life and prognosis but at the same time cardiac rehabilitation services are vastly underutilized.

Indexed as

Chronic heart failureDepressionThe elderly

Identifiers

PMID30108618
PMCPMC6087518
OpenAlexW2895848052

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.