November 2008 Br J Cardiol 2008;15: 322–5
Amam C Mbakwem, Olatunji F Aina
Introduction A large number of studies have documented a high rate of co-occurrence of psychiatric morbidity and chronic medical conditions, such as bronchial asthma, diabetes, hypertension and heart disease.1,2Specifically, in heart failure (HF), psychiatric complications such as depression and anxiety are very common.3,4 In Africa, most especially Nigeria, HF is quite common with attendant high morbidity and mortality rates.5,6 Studies have shown that co-morbid psychiatric disorders delay recovery from HF, increasing length of hospital stay, with associated poorer prognosis and increased mortality.7,8 Despite the importance of co-morbid psy
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