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Clinical Crossroads
March 27, 2002

A 75-Year-Old Man With Depression

Author Affiliations

Author Affiliation: Dr Kroenke is Professor of Medicine, Senior Scientist, and Director of Fellowship Training, Department of Medicine, Indiana University School of Medicine and Regenstrief Institute for Health Care, Indianapolis, Ind.

JAMA. 2002;287(12):1568-1576. doi:10.1001/jama.287.12.1568

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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