A 57 year Old Man with Depressive Disorder, Congestive Heart Failure and Non Adherence with Treatment

Author(s): Nazmie F Ibishi, Nebi R Musliu, Shpend Haxhibeqiri, Bujar Obertinca

Behaviors that decline the quality of life and shorten it, are in different forms. Some of the potential behaviors that are life threatening are cigarette smoking, risks during drive and ignoring the doctor recommendations. Suicide behavior that do not have a clear and identified intentionality, can often be indirect behavior leading to suicide. Depression may increase the risk of cardiac crises and death through direct pathophysiological mechanisms of neurohormonal activity, inflammation, cardiac arrhythmia or through the patient’s behavioral mechanism. Depressed patients have difficulty in therapeutic compliance and in changing their lifestyle adequately. This case report is an important lesson for health care providers and challenging they face with management strategy including poor adherence with treatment in patients with congestive heart failure (CHF) and potential failing to recognize the early symptoms of depression as independent risk factor for mortality and morbidity in CHF.