RELATIONSHIP BETWEEN AFFECTIVE SYMPTOMS AND DECOMPENSATIONS IN PATIENTS WITH HEART FAILURE

Abstract

Heart failure (HF) is one of the leading causes of morbidity and mortality worldwide and is associated with a high rate of rehospitalizations. In recent years, it has been identified that affective symptoms, particularly depression and anxiety, play a determining role in the clinical evolution of patients. This article analyzes the relationship between affective symptoms and decompensations in HF, considering the available empirical evidence. A documentary review of recent studies (2019–2024) was carried out, finding that affective symptoms are associated with worse therapeutic adherence, increased biomarkers of physiological stress, and a greater likelihood of clinical decompensation. The results suggest the need for integrated interventions that include mental health management within cardiovascular care.