Symptoms of depression have been correlated with poor outcomes among patients with coronary heart disease (CHD) who have increased risk for further cardiac events after acute coronary syndrome (ACS).1 symptoms of depression in patients after ACS have been associated with greater use of primary care services, an increased number of hospital readmissions, increased incidence of chest pain, poorer adherence to medical recommendations,2 decreased incidence of returning to work,3 and increased numbers of adverse health events.4,5 In 2008, concern about these deleterious effects led the American Heart Association, with an endorsement from the American psychiatric Association, to publish a scientific advisory1 calling for routine screening of depression in CHD patients.