Citation

Adamczewska-Chmiel K, Bień M, Dudzic K, Krysta K, Krzystanek M. Psychiatria (2004) 2022; 19(2): 123-127.

Copyright

(Copyright © 2022, Via Medica)

DOI

10.5603/PSYCH.a2021.0049

PMID

unavailable

Abstract

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 as well as the patient and his family. © Copyright 2022 Via Medica.

Language: en

Keywords

human; male; aged; alcoholism; case report; suicidal ideation; schizophrenia; suicide attempt; hospitalization; mental disorders; alcohol abuse; mental disease; psychiatrist; behavior disorder; clinical article; quetiapine; anxiety disorder; diazepam; haloperidol; delusion; cerebrovascular accident; medical specialist; carbamazepine; risperidone; drug withdrawal; pharmaceutical care; disease exacerbation; delirium; paranoid schizophrenia; valproic acid; mania; hypertension; disulfiram; escitalopram; clonazepam; perazine; auditory hallucination; drug dose reduction; pantoprazole; Article; promethazine; metabolic syndrome X; drug dose increase; logorrhea; zuclopenthixol; evening dosage; cardiologist; paliperidone; abdominal obesity; faintness; cardiology; executive function; bisoprolol; rivaroxaban; physical restraint; atrial fibrillation; excessive daytime sleepiness; neuropsychological assessment; alcoholic hallucinosis; persistent atrial fibrillation; somatic