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Exercise, Cardiac Rehabilitation, and Post–Acute Coronary Syndrome Depression

Carl J. Lavie, MD1,2; Richard V. Milani, MD1; James A. Blumenthal, PhD3
[+] Author Affiliations
1Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School–The University of Queensland School of Medicine, New Orleans, Louisiana
2Department of Preventive Medicine, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge
3Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina
JAMA Intern Med. 2014;174(1):165-166. doi:10.1001/jamainternmed.2013.11112.
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To the Editor We congratulate Davidson and colleagues1 for their randomized clinical trial demonstrating that, compared with usual care controls, an active depression treatment program involving problem solving therapy and/or pharmacotherapy resulted in greater reductions in depressive symptoms in depressed patients with post–acute coronary syndrome (ACS). This work is important in demonstrating that meaningful improvements in depression can be achieved with traditional mental health interventions. However, we were surprised that the potential value of exercise training (ET) in the routine management of depressed patients with ACS was not mentioned.

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January 1, 2014
Karina W. Davidson, PhD; Matthew M. Burg, PhD; Robert M. Carney, PhD; Kenneth E. Freedland, PhD
1Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York, New York
1Center for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Medical Center, New York, New York2Yale University School of Medicine, New Haven, Connecticut
3Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri
JAMA Intern Med. 2014;174(1):166-167. doi:10.1001/jamainternmed.2013.11097.
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