(P220) CARDIOVASCULAR RECOMMENDATIONS IN PSYCHIATRY GUIDELINES AND PSYCHIATRY RECOMMENDATIONS IN CARDIOVASCULAR GUIDELINES: A SYSTEMATIC REVIEW OF CARDIOLOGY AND PSYCHIATRY GUIDELINES

Background: People with serious mental illness (SMI), such as major depression, schizophrenia, and bipolar disorder, have a much higher rate of cardiovascular (CV) risk factors and disease than the general population. There is a need to explore how CV and psychiatric professional societies describe the interplay of SMI and CV disease to their respective disciplines.

METHODS AND RESULTS: Major American and European CV and psychiatric professional society guidelines and statements published between 2013-2023 were searched. Primary and secondary prevention CV guidelines were included. Disease-specific psychiatric guidelines for schizophrenia, bipolar, and major depression were included. Relevant text was extracted and classified as recommendations or as supporting text.

There were 26 guidelines (13 CV; 13 psychiatric) included in the analysis. Psychiatric recommendations were included in 5 CV guidelines (38%). The most common recommendations in CV guidelines were for treatment of mental illness to improve CV outcomes (N=5), pharmacological considerations (N=2), and considering mental illness as a risk factor for CV disease (N=2). 13% (1/8) of American CV guidelines had psychiatric recommendations compared with 80% (4/5) of European CV guidelines. CV recommendations were included in 10 psychiatric guidelines (77%). The most common CV recommendations in psychiatric guidelines were for CV disease screening (N=16), CV pharmacological considerations (N=8), and improving CV risk factor control (N=7). 40% (2/5) of American psychiatric guidelines compared with all European psychiatric guidelines (100%; 8/8) had CV recommendations.

Conclusion: CV recommendations were more common in psychiatric guidelines than psychiatric recommendations in CV guidelines. European guidelines had more CV and psychiatric recommendations than comparable American guidelines. Further professional societal efforts are needed to highlight the established relationship between CV disease and psychiatric conditions.