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01.03.2015 | case report | Ausgabe 5-6/2015

Wiener klinische Wochenschrift 5-6/2015

Tako-tsubo cardiomyopathy and post-traumatic stress disorder after a skiing accident: a case report

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 5-6/2015
Autoren:
PhD Birgit Maria Harb, MD Manfred Wonisch, MD Prof. Friedrich Fruhwald, MD Christian Fazekas

Summary

Background

Symptoms of a post-traumatic stress disorder can follow Tako-tsubo cardiomyopathy. This vignette describes such a linkage and exemplifies the risk that these symptoms may remain undetected.

Case presentation

After a skiing accident that had evoked existential fear of suffocation, a post-menopausal woman was diagnosed with Tako-tsubo syndrome and myocardial contusion. Symptoms of post-traumatic stress disorder appeared 2 weeks after remission of the cardiomyopathy. Two months later, a psychological assessment was conducted during cardiac rehabilitation. A post-traumatic stress disorder was diagnosed and successfully treated by narrative exposure.

Conclusion

This case report suggests that these patients should be informed during the initial hospital stay that post-traumatic stress symptoms could appear. It also suggests including a screening for post-traumatic stress disorder in the follow-up of these patients.

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