Evidence map›Paper›PMID 40795291›Full record

ReviewEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2025

Beyond the Heart: The Significance of Depression in Cardiac Surgery.

Malin Stenman, Veronica Jackson, Josefin Särnholm, Anna Falk, Susanne J Nielsen, Ulrik Sartipy

Abstract readReview
In one paragraph

Review in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
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.

Malin StenmanDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 17177, Stockholm, Sweden.ORCID 0000-0002-6782-0586
Veronica JacksonDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 17177, Stockholm, Sweden.ORCID 0000-0002-1301-8440
Josefin SärnholmDepartment of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, 17177, Stockholm, Sweden.ORCID 0000-0002-9872-4781
Anna FalkPerioperative Medicine and Intensive Care Function, Karolinska University Hospital, 17176, Stockholm, Sweden.ORCID 0000-0003-4829-0943
Susanne J NielsenDepartment of Molecular and Clinical Medicine, Sahlgrenska Academy, Gothenburg University, 40530, Gothenburg, Sweden.
Ulrik SartipyDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 17177, Stockholm, Sweden.ORCID 0000-0003-2707-0263

Funding

Karolinska Institutet Foundations and Funds 2024-02499Swedish Heart-Lung Foundation 20220151
6 · The paper itself

Abstract

objectivesPreoperative depression is common among patients with cardiovascular disease and a significant risk factor for worse outcomes after cardiac surgery. This review summarizes the current evidence on depression as a risk factor and possible treatment options in patients undergoing cardiac surgery, and highlights future perspectives for clinical research.

methodsThis narrative review was based on a selection of key papers, identified through collegial expert discussions rather than a systematic literature search.

resultsDepression is often underdiagnosed and undertreated in patients undergoing cardiac surgery, significantly affecting recovery and increasing the risk of adverse outcomes. Implementing systematic psychological screening for depression and anxiety preoperatively and during follow-up is crucial for identifying at-risk patients. Psychological interventions, especially cognitive behavioral therapy have been shown to offer substantial benefits. Adopting a multidisciplinary approach integrating cardiovascular and psychological care is essential for improving recovery and long-term outcomes. Incorporating psychological screening and interventions into standard care can enhance postoperative outcomes, reduce complications, and provide comprehensive support for cardiac surgery patients.

conclusionsDepression is often overlooked in cardiac surgery patients, despite its significant impact on recovery and long-term outcomes. Systematic psychological screening before and after surgery together with a multidisciplinary approach integrating cardiovascular and psychological care can improve patient outcomes. Future research should clarify how depression and cardiovascular disease are linked, assess treatment effectiveness, and identify appropriate intervention strategies.

Indexed as

Cardiac Surgical ProceduresCardiovascular DiseasesDepressionHumansPostoperative ComplicationsRisk Factorscardiac psychiatrycardiac surgerycardiovascular diseasecognitive behavioral therapydepression

Identifiers

PMID40795291
PMCPMC12377910

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.