Question

A 70-year-old man with ischaemic heart disease and depression reports low mood, insomnia, and decreased appetite. You start sertraline. According to CANMAT and cardiac guidelines, which antidepressant choice is generally preferred in patients with coronary artery disease?

Accepted Answer

Sertraline or escitalopram

Answer

Tricyclic antidepressants such as amitriptyline

Answer

Monoamine oxidase inhibitors

Answer

Venlafaxine at very high doses

Answer

No antidepressant is safe

Practice question

A 70-year-old man with ischaemic heart disease and depression reports low mood, insomnia, and decreased appetite. You start sertraline. According to CANMAT and cardiac guidelines, which antidepressant choice is generally preferred in patients with coronary artery disease?