Psychosis treatment in the context of tetralogy of Fallot and prolonged QTc.

Autor:	D'Souza, Dina, Kar, Nilamadhab, Jiwanmall, Stephen Amarjeet
Předmět:	DRUG therapy for psychoses HEART valve diseases CARDIOVASCULAR diseases risk factors TETRALOGY of Fallot PSYCHOSES LONG QT syndrome PATIENT monitoring TREATMENT effectiveness ELECTROCARDIOGRAPHY HEALTH care teams ANTIPSYCHOTIC agents DISEASE complications
Zdroj:	Progress in Neurology & Psychiatry; Apr2023, Vol. 27 Issue 2, p10-12, 3p
Abstrakt:	We present a case of a 27‐year‐old Caucasian male with a background of surgically corrected tetralogy of Fallot (TOF) and pulmonary valve regurgitation, who presented with psychotic symptoms. The case presented a challenge in treatment due to the patient's cardiac history and ongoing cardiac‐related health problems with prolonged QTc before initiation of the antipsychotic drug. Treatment included careful monitoring of ECG while on antipsychotics, which led gradually to improvement in his mental state. The case highlights the possibility of a link between TOF and psychosis, the vulnerability of such patients to their treatment and the importance of multidisciplinary support for cardiac side‐effects. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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