Bridging the gap: low intensity collaborative care for patients with recent cardiac events can improve mental health and quality of life

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There are many interfaces in mental health services, such as the one between physical and mental health. Where there are interfaces, there are inevitably gaps for patients to fall through. Consequently opportunities are missed to treat mental health problems in those with physical health problems. There is mounting evidence for the effectiveness of Collaborative Care (CC) [read the full story…]

Is this toothache or am I having a heart attack?

heart attack

Pain from cardiac ischaemia can have a range of presentations. This can include chest, arm, shoulder pain, face or jaw pain.  While sudden chest pain that may travel down the arm is a typical presentation classic teaching is that cardiac ischemia can present with tooth, jaw, or facial pain as its sole symptom.  The aim [read the full story…]

Treatment of depression after a heart attack does not improve the long-term risk of adverse cardiac events but may increase survival

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Although there have been huge advances in the treatment of heart disease, it is still the UK’s biggest killer (more information on heart disease can be found at the British Heart Foundation’s website). Depression after a heart attack is common (roughly 20% prevalence) and can worsen heart disease and increase the risk of death.  A [read the full story…]

Extractions due to dental infections associated with nonfatal MI in elderly men

heart attack

This study was a nested case-control study within the Oslo Study, (a cohort study of the prevention and epidemiology of cardiovascular diseases). The aim was to explore whether dental extractions are associated with myocardial infarction (MI). The sample consisted of  men with a self-reported history of MI as cases (n = 548) and controls (n [read the full story…]