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Improvement of late life depression after therapeutic enoxaparin: two case reports.
Graham, David; Wu, Qi Xuan; Gilligan, Ian; Ismail, Raiz; Walker, Mark.
Afiliación
  • Graham D; Kids Neuroscience Centre, Kids Research Institute, The Children's Hospital at Westmead, Westmead, NSW, and; Concord Centre for Mental Health, Concord Hospital, Concord, NSW, Australia.
  • Wu QX; Department of Psychiatry, Nepean Hospital, Penrith, NSW, Australia.
  • Gilligan I; Department of Psychiatry, Nepean Hospital, Penrith, NSW, and; Department of Archaeology, University of Sydney, Sydney, NSW, Australia.
  • Ismail R; Department of Psychiatry, Nepean Hospital, Penrith, NSW, Australia.
  • Walker M; Department of Psychiatry, Nepean Hospital, Penrith, NSW, Australia.
Australas Psychiatry ; 26(5): 534-536, 2018 Oct.
Article en En | MEDLINE | ID: mdl-30198320
OBJECTIVE: Late life depression (LLD) may have a significant vascular component. While this organic basis remains controversial it would explain the refractory nature of LLD. Moreover, depression is a risk factor for venous thrombus embolism (VTE). This paper aims to describe two elderly patients with LLD who developed and were treated for pulmonary embolism (PE). METHODS: Two cases of elderly patients who developed PE while they were undergoing inpatient treatment for depression are presented. This is discussed using the vascular and the cytokine hypotheses of depression as an explanatory framework. RESULTS: Both patients showed significant clinical improvement in their mental state following therapeutic enoxaparin despite no other changes to their management of depression. This observed benefit of enoxaparin can be explained by the vascular hypothesis of LLD, and possibly the cytokine hypothesis of major depression. CONCLUSION: Enoxaparin may be a novel adjunct to the treatment of depression in elderly patients. The possible benefit of enoxaparin would require further study to exclude a coincidence in these clinical cases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embolia Pulmonar / Enoxaparina / Trastorno Depresivo / Fibrinolíticos Tipo de estudio: Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Australas Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embolia Pulmonar / Enoxaparina / Trastorno Depresivo / Fibrinolíticos Tipo de estudio: Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Australas Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido