Psychopathology associated with cardiac pacing in Tanzania: A case series.

Autor:	Pallangyo P; Department of Research and Training, Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.; Department of Cardiology, Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania., Mgopa LR; Department of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Bhalia SV; Department of Cardiology, Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania., Mkojera ZS; Department of Research and Training, Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania., Komba M; Department of Research and Training, Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania., Mayala HA; Department of Clinical Support Services, Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania., Kisenge PR; Department of Cardiology, Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2023 Oct 17; Vol. 11, pp. 2050313X231207563. Date of Electronic Publication: 2023 Oct 17 (Print Publication: 2023).
DOI:	10.1177/2050313X231207563
Abstrakt:	Emotional disarray linked to interventional procedures may potentially aggravate previous psychiatric conditions or even precipitate new psychopathologies. Despite of the well-known deleterious impact of mental health disorders on cardiac outcomes, psychological disturbances are relatively understudied yet of vital importance to the overall health of post-pacing patients. In this case series we present a spectrum of mental illnesses observed in a cohort of patients who underwent permanent pacemaker implantation in Tanzania's national referral cardiac centre. Five individuals of African origin aged between 58 and 81 years presented to Jakaya Kikwete Cardiac Institute with clinical conditions warranting permanent pacemaker implantation. All five denied prior history of mental illness, however, after thorough psychiatric reviews; organic brain syndrome, panic disorder, brief psychotic disorder, adjustment disorder and major depressive disorder diagnoses were reached. All five were successfully channeled for medical psychotherapy. To conclude, this case series illustrates variable consequences of poor psychological adaptation to implantable cardiac devices, and it underscores the importance of continued psychological evaluation to such patients. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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