TY - JOUR
AU - Delli Colli
AU - K. T. Greenway
AU - M. Goldfarb
A1 - 
AB - IntroductionIndividuals with serious mental illness (SMI), including major depression, schizophrenia, and bipolar disorder, experience disproportionately high rates of cardiovascular (CV) risk and disease. Despite this well-established connection, it remains unclear how professional society guidelines across cardiology and psychiatry address this relationship.MethodsMajor American and European CV and psychiatric society guidelines published from 2013-2023 were reviewed. Included were guidelines on primary and secondary CV disease prevention, and disease-specific guidelines for schizophrenia, bipolar disorder, and major depressive disorder. Relevant text was extracted and classified as recommendations or supporting text.ResultsTwenty-six guidelines were included (13 CV; 13 psychiatric). Psychiatric considerations appeared in 5 CV guidelines (38%), most commonly addressing mental illness treatment to improve CV outcomes (n = 5), pharmacological considerations (n = 2), and recognition of mental illness as a CV risk factor (n = 2). Only 13% of American CV guidelines included psychiatric content, compared to 80% of European CV guidelines. In contrast, 10 psychiatric guidelines (77%) included CV-related recommendations, including CV screening (n = 16), pharmacological considerations (n = 8), and risk factor control (n = 7). Among psychiatric guidelines, 40% of U.S. and 100% of European documents included CV content.ConclusionsCV considerations are more frequently addressed in psychiatric than psychiatric considerations in CV guidelines. European guidelines showed greater cross-disciplinary integration. These findings highlight the need for more unified, interdisciplinary guidance to reduce CV risk in individuals with SMI.
AD - Department of Experimental Medicine, Jewish General Hospital, Montreal, QC, Canada. RINGGOLD: 5621; Department of Psychiatry, Jewish General Hospital, Montreal, QC, Canada. RINGGOLD: 5621; Division of Cardiology, Jewish General Hospital, Montreal, QC, Canada. RINGGOLD: 5621
AN - 40505152
BT - Int J Psychiatry Med
C5 - Healthcare Policy; Healthcare Disparities
DA - Jun 12
DO - 10.1177/00912174251348996
DP - NLM
ET - 20250612
JF - Int J Psychiatry Med
LA - eng
N2 - IntroductionIndividuals with serious mental illness (SMI), including major depression, schizophrenia, and bipolar disorder, experience disproportionately high rates of cardiovascular (CV) risk and disease. Despite this well-established connection, it remains unclear how professional society guidelines across cardiology and psychiatry address this relationship.MethodsMajor American and European CV and psychiatric society guidelines published from 2013-2023 were reviewed. Included were guidelines on primary and secondary CV disease prevention, and disease-specific guidelines for schizophrenia, bipolar disorder, and major depressive disorder. Relevant text was extracted and classified as recommendations or supporting text.ResultsTwenty-six guidelines were included (13 CV; 13 psychiatric). Psychiatric considerations appeared in 5 CV guidelines (38%), most commonly addressing mental illness treatment to improve CV outcomes (n = 5), pharmacological considerations (n = 2), and recognition of mental illness as a CV risk factor (n = 2). Only 13% of American CV guidelines included psychiatric content, compared to 80% of European CV guidelines. In contrast, 10 psychiatric guidelines (77%) included CV-related recommendations, including CV screening (n = 16), pharmacological considerations (n = 8), and risk factor control (n = 7). Among psychiatric guidelines, 40% of U.S. and 100% of European documents included CV content.ConclusionsCV considerations are more frequently addressed in psychiatric than psychiatric considerations in CV guidelines. European guidelines showed greater cross-disciplinary integration. These findings highlight the need for more unified, interdisciplinary guidance to reduce CV risk in individuals with SMI.
PY - 2025
SN - 0091-2174
SP - 912174251348996
ST - Cross-disciplinary cardiovascular and psychiatric recommendations: A systematic review of clinical guidelines
T1 - Cross-disciplinary cardiovascular and psychiatric recommendations: A systematic review of clinical guidelines
T2 - Int J Psychiatry Med
TI - Cross-disciplinary cardiovascular and psychiatric recommendations: A systematic review of clinical guidelines
U1 - Healthcare Policy; Healthcare Disparities
U3 - 10.1177/00912174251348996
VO - 0091-2174
Y1 - 2025
ER -