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[Psychopharmacotherapy in patients with cardiovascular diseases].

Abstract
Increased cardiometabolic morbidity and increased overall mortality has been observed in patients with severe mental disorders. Therefore, cardiometabolic safety is an important issue in the treatment of patients with psychiatric disorders, in particular in patients with comorbid cardiometabolic diseases. Frequent adverse side effects include disturbances of lipid and glucose metabolism, body weight changes and alterations of the QTc interval. Dependent on the particular substance used and on factors concerning individual vulnerability, these side effects vary in relative frequency. Therefore, regular monitoring is recommended including ECG. Furthermore, interactions between different medicaments may occur, either leading to enhanced or decreased drug concentrations. Prior to psychopharmacological treatment, proper cardiological treatment is recommended. The management of cardiovascular risks under psychopharmacology requires interdisciplinary cooperation between the cardiologist, general practitioner and psychiatrist.
AuthorsJ Cordes, C Lange-Asschenfeldt, C Hiemke, K G Kahl
JournalDer Internist (Internist (Berl)) Vol. 53 Issue 11 Pg. 1304, 1306-12, 1314 (Nov 2012) ISSN: 1432-1289 [Electronic] Germany
Vernacular TitlePsychopharmakotherapie bei Herz-Kreislauf-Erkrankungen.
PMID23052329 (Publication Type: English Abstract, Journal Article)
Chemical References
  • Psychotropic Drugs
Topics
  • Cardiovascular Diseases (chemically induced, prevention & control)
  • Humans
  • Mental Disorders (complications, drug therapy)
  • Psychotropic Drugs (adverse effects, therapeutic use)

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