Guideline sources The following summarized guidelines for the evaluation and management of post-myocardial infarction depression are prepared by our editorial team based on guidelines from the American Association of Family Physicians (AAFP 2009). 1 Guidelines 1. Screening and diagnosis Indications for screening: screen for depression using a standardized depression symptom checklist in patients with a history of recent myocardial infarction. Perform screening at regular intervals during the postmyocardial infarction period, including during hospitalization. A 2. Medical management General principles: treat post-myocardial infarction patients with a diagnosis of depression to relieve symptoms, with systems in place to ensure regular follow-up and monitoring of their treatment response and adherence to treatment. A Antidepressant agents: use SSRIs in preference to TCAs for treatment of post-myocardial infarction depression. A 3. Nonpharmacologic interventions https://web.pathway.md/diseases/recwiIVK72zVU6jDM 1/2 6/29/23, 11:20 PM Post-myocardial infarction depression Pathway Psychotherapy: consider psychotherapy as it may be beneficial for treatment of depression in post-myocardial infarction patients; the existing evidence base does not establish what form of psychotherapy is preferred. C References 1. Green LA, Dickinson WP, Nease DE Jr et al. AAFP guideline for the detection and management of post-myocardial infarction depression. Ann Fam Med. 2009 Jan-Feb;7 1 71 9. Open https://web.pathway.md/diseases/recwiIVK72zVU6jDM 2/2