Article

Cardiovascular disease and metabolic risk factors in male patients with schizophrenia, Schizoaffective disorder, and bipolar disorder

University of Pittsburgh, Pittsburgh, Pennsylvania, United States
Psychosomatics (Impact Factor: 1.67). 09/2007; 48(5):412-7. DOI: 10.1176/appi.psy.48.5.412
Source: PubMed

ABSTRACT The authors determined whether diagnoses of cardiovascular disease (CVD) and CVD-related conditions differed by psychiatric diagnosis among male Veterans Administration patients from the mid-Atlantic region. Among 7,529 patients (mean age: 54.5 years), the prevalence of diagnoses ranged from 3.6% (stroke) to 35.4% (hypertension). Compared with schizophrenia patients, those with bipolar disorder were 19% more likely to have diabetes, 44% more likely to have coronary artery disease, and 18% more likely to have dyslipidemia, after adjustment. Clinical suspicion for CVD-related conditions, as well as risk-modification strategies, in patients with serious mental illness should incorporate differences in prevalence across specific psychiatric diagnoses.

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