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      A Call for Cardiopsychiatry



      S. Karger AG

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          Motivational interviewing in health care settings Opportunities and limitations

           K. Emmons (2001)
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            Undiagnosed cardiovascular disease prior to cardiovascular death in individuals with severe mental illness

            Objective To examine whether individuals with schizophrenia (SCZ) or bipolar disorder (BD) had equal likelihood of not being diagnosed with cardiovascular disease (CVD) prior to cardiovascular death, compared to individuals without SCZ or BD. Methods Multivariate logistic regression analysis including nationwide data of 72 451 cardiovascular deaths in the years 2011–2016. Of these, 814 had a SCZ diagnosis and 673 a BD diagnosis in primary or specialist health care. Results Individuals with SCZ were 66% more likely (OR: 1.66; 95% CI: 1.39–1.98), women with BD were 38% more likely (adjusted OR: 1.38; 95% CI: 1.04–1.82), and men with BD were equally likely (OR: 0.88, 95% CI: 0.63–1.24) not to be diagnosed with CVD prior to cardiovascular death, compared to individuals without SMI. Almost all (98%) individuals with SMI and undiagnosed CVD had visited primary or specialized somatic health care prior to death, compared to 88% among the other individuals who died of CVD. Conclusion Individuals with SCZ and women with BD are more likely to die due to undiagnosed CVD, despite increased risk of CVD and many contacts with primary and specialized somatic care. Strengthened efforts to prevent, recognize, and treat CVD in individuals with SMI from young age are needed.

              Author and article information

              S. Karger AG
              July 2020
              30 April 2020
              : 145
              : 7
              : 410-412
              Division of Mental Health and Addiction, Department for Research and Innovation, Oslo University Hospital, Oslo, Norway
              Author notes
              *Petter Andreas Ringen, MD, PhD, Division of Mental Health and Addiction, Department for Research and Innovation, Oslo University Hospital, Sognsvannsveien 21, NO–0372 Oslo (Norway), p.a.ringen@medisin.uio.no
              507328 Cardiology 2020;145:410–412
              © 2020 The Author(s) Published by S. Karger AG, Basel

              This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

              Page count
              Pages: 3
              CAD and AMI: Editorial Comment

              General medicine, Neurology, Cardiovascular Medicine, Internal medicine, Nephrology


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