A 70-year-old man with ischaemic heart disease and depression reports low mood, insomnia, and decreased appetite. You start sertraline. According to C...

Question

A 70-year-old man with ischaemic heart disease and depression reports low mood, insomnia, and decreased appetite. You start sertraline. According to CANMAT and cardiac guidelines, which antidepressant choice is generally preferred in patients with coronary artery disease?

Accepted Answer

Sertraline or escitalopram

Answer

Tricyclic antidepressants such as amitriptyline

Answer

Monoamine oxidase inhibitors

Answer

Venlafaxine at very high doses

Answer

No antidepressant is safe

ca-mccqe1 MCQ (SBA): Depression in coronary artery disease

A 70-year-old man with ischaemic heart disease and depression reports low mood, insomnia, and decreased appetite. You start sertraline. According to CANMAT and cardiac guidelines, which antidepressant choice is generally preferred in patients with coronary artery disease?