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Clinical Crossroads |

A 75-Year-Old Man With Depression

Kurt Kroenke, MD, Discussant
JAMA. 2002;287(12):1568-1576. doi:10.1001/jama.287.12.1568.
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Extract

Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.

DR BURNS: Mr S is a 75-year-old man who has had depressive symptoms for the past few years. He is married with 3 adult children and several grandchildren. He has managed Medicare insurance.

Mr S has no prior history of depression. He first began having difficulties with depression about 2½ years ago following coronary artery bypass graft surgery, followed by an ablation procedure for persistent atrial fibrillation. Initially, the procedure was successful, but his rhythm later reverted to atrial fibrillation. His past medical history is otherwise noteworthy for hypertension, hyperlipidemia, benign prostatic hyperplasia, and seizure disorder (he had his last seizure in his 30s).

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