Evidence map›Paper›PMID 27136414›Full record

ArticleJournal of affective disorders2016

Nighttime heart rate predicts response to depression treatment in patients with coronary heart disease.

Robert M Carney, Kenneth E Freedland, Brian C Steinmeyer, Eugene H Rubin, Phyllis K Stein, Michael W Rich

Abstract read
In one paragraph

Article in Journal of affective disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

6 authors.

Robert M CarneyDepartments of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: carneyr@bmc.wustl.edu.
Kenneth E FreedlandDepartments of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Brian C SteinmeyerDepartments of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Eugene H RubinDepartments of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Phyllis K SteinDepartments of Medicine Washington University School of Medicine, St. Louis, MO, USA.
Michael W RichDepartments of Medicine Washington University School of Medicine, St. Louis, MO, USA.

Funding

CARDIAC RISK MARKERS AND UNREMITTING DEPRESSION IN ACUTE CORONARY SYNDROMER01HL089336 · NHLBI · WASHINGTON UNIVERSITY · PI CARNEY, ROBERT M · 2009 to 2012
$2.9M
NHLBI NIH HHS R01 HL089336
6 · The paper itself

Abstract

backgroundPrevious studies suggest that patients with coronary heart disease (CHD) who do not respond to treatment for depression are at higher risk of mortality than are treatment responders. The purpose of this study was to determine whether elevated nighttime heart rate (HR) and low heart rate variability (HRV), both of which have been associated with depression and with cardiac events in patients with CHD, predict poor response to depression treatment in patients with CHD.

methodsPatients with stable CHD and a current major depressive episode completed 24h ambulatory ECG monitoring and were then treated for up to 16 weeks with cognitive behavior therapy (CBT), either alone or in combination with an antidepressant. Pre-treatment HR and HRV were calculated for 124 patients who had continuous ECG from early evening to mid-morning.

resultsFollowing treatment, 64 of the 124 patients (52%) met study criteria for remission (Hamilton Rating Scale for Depression score≤7). Prior to treatment, non-remitters had higher nighttime HR (p=0.03) and lower nighttime HRV (p=0.01) than did the remitters, even after adjusting for potential confounds. LIMITATIONS: Polysomnography would have provided information about objective sleep characteristics and sleep disorders. More CBT sessions and higher doses of antidepressants may have resulted in more participants in remission.

conclusionsHigh nighttime HR and low nighttime HRV predict a poor response to treatment of major depression in patients with stable CHD. These findings may help explain why patients with CHD who do not respond to treatment are at higher risk for mortality.

Indexed as

Cognitive Behavioral TherapyAgedAntidepressive AgentsCombined Modality TherapyCoronary DiseaseElectrocardiographyFemaleHeart RateHumansMajor Depressive DisorderMaleMiddle AgedPsychiatric Status Rating ScalesTreatment OutcomeAntidepressive AgentsCoronary heart diseaseDepression treatmentNighttime heart rate

Identifiers

PMID27136414
PMCPMC4887415

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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 OpenQuestion graph.