To the Editor We congratulate Davidson and colleagues1 for their randomized clinical trial demonstrating that, compared with usual care controls, an active depression treatment program involving problem solving therapy and/or pharmacotherapy resulted in greater reductions in depressive symptoms in depressed patients with post–acute coronary syndrome (ACS). This work is important in demonstrating that meaningful improvements in depression can be achieved with traditional mental health interventions. However, we were surprised that the potential value of exercise training (ET) in the routine management of depressed patients with ACS was not mentioned.
Lavie CJ, Milani RV, Blumenthal JA. Exercise, Cardiac Rehabilitation, and Post–Acute Coronary Syndrome Depression. JAMA Intern Med. 2014;174(1):165–166. doi:10.1001/jamainternmed.2013.11112