Tom 19, Nr 2 (2022)
Opis przypadku
Opublikowany online: 2021-12-23
Wyświetlenia strony
3989
Wyświetlenia/pobrania artykułu
47
How crucial is the cooperation between medical specialists and patients with coexisting mental and somatic disorders?
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Psychiatria 2022;19(2):123-127.
Streszczenie
In the treatment of patients with mental disorders, the management of coexisting somatic disorders poses additional difficulties. In the article, a case report of a 65-year-old male diagnosed with schizophrenia, as well as with cardiac arrhythmia was presented. Additionally, the patient has been addicted to alcohol since the age of 18 and manifests signs of metabolic syndrome. Due to a syncope, he was admitted to the cardiology department, where the diagnose of arrhythmias in the form of atrial fibrillation was made. During periods of exacerbation of mental illness, the patient tends to discontinue the use of both psychiatric and recommended somatic diseases drugs. Due to the patient's persistent atrial fibrillation, the sudden withdrawal of cardiac medications significantly increases the risk of somatic complications including stroke. Effective management of both mental and somatic disorders is crucial, which requires close multidisciplinary cooperation between a psychiatrist and cardiologist.
Słowa kluczowe: schizofreniamigotanie przedsionkówalkoholizm' somatyczne i psychiczne zaburzenia
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