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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Depression With Suicidal Tendencies After Having Heart Attack Go Hand In Hand?

Yes, I have a brother who had a heart attack five years ago and since then he hasn't acted right He actually was watching himself die. He has been depressed for a long time, wife thinks it is because of him being out of work. He has mentioned suicide and how easy he could do this. Could you please explain to me how a heart attack and depression go hand in hand. Thank You
Miah
Wed, 15 Jan 2014
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Psychiatrist,  's  Response
Hi
Your brother had a heart attack 5 years back, he recovered. But he would have it in back of his mind always. Again he would be thinking about "chances of another attack". This makes the situation worse leading to stress.
Stress affects limbic system of brain- Change of emotion, depression
Regarding medication in this situation- a person should not take tricyclics. SSRI (such as sertraline) is a good choice
I suggest you to consult your psychiatrist immediately as he is having suicidal ideas.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Can Depression With Suicidal Tendencies After Having Heart Attack Go Hand In Hand?

Hi Your brother had a heart attack 5 years back, he recovered. But he would have it in back of his mind always. Again he would be thinking about chances of another attack . This makes the situation worse leading to stress. Stress affects limbic system of brain- Change of emotion, depression Regarding medication in this situation- a person should not take tricyclics. SSRI (such as sertraline) is a good choice I suggest you to consult your psychiatrist immediately as he is having suicidal ideas. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.