Psychosis treatment in the context of tetralogy of Fallot and prolonged QTc
D'Souza, Dina Kar, Nilamadhab Jiwanmall, Stephen Kar, Nilamadhab Kar, Nilamadhab
D'Souza, Dina
Kar, Nilamadhab
Jiwanmall, Stephen
Kar, Nilamadhab
Abstract
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.
MIDER Authors
Citations
Altmetric:
Date
2023-05-10
Type
Article
Subject
Mental health, Cardiology
Collections
Citation
D'Souza, D., Kar, N. and Jiwanmall, S.A. (2023), Psychosis treatment in the context of tetralogy of Fallot and prolonged QTc. Prog. Neurol. Psychiatry, 27: 10-12. https://doi.org/10.1002/pnp.785
Journal / Source Title
Progress in Neurology and Psychiatry
DOI
PMID
Publisher
Wiley