scholarly journals Psychiatric Disorder and Incessant Tachyarrhythmia in a Child

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Peter Chau ◽  
Jeremy Moore
Keyword(s):  
Intensive Care Unit ◽  
Atrial Tachycardia ◽  
Attempted Suicide ◽  
Psychiatric Symptoms ◽  
Pediatric Population ◽  
Anxiety And Depression ◽  
Tricuspid Annulus ◽  
Review Of The Literature ◽  
Ectopic Atrial Tachycardia ◽  
History Of

The case of a 14-year-old female with ectopic atrial tachycardia who had been followed for a history of anxiety and depression is presented. The patient was admitted to the intensive care unit after she attempted suicide, at which point there was electrocardiographic evidence of the atrial arrhythmia. During subsequent invasive electrophysiology study, a focus near the tricuspid annulus was localized and targeted for ablation, followed by resolution of the psychiatric symptoms. The case highlights the overlap between psychiatric complaints and true cardiac arrhythmia. A review of the literature is presented, with a special emphasis on distinguishing these two entities as well as a synopsis of this uncommon arrhythmia in the pediatric population.

Levels of anxiety, depression and denial in patients with myocardial infarction

1997 ◽  
Vol 12 (3) ◽  
pp. 149-151 ◽  
Author(s):  
D Sarantidis ◽  
A Thomas ◽  
K Iphantis ◽  
N Katsaros ◽  
J Tripodianakis ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Intensive Care Unit ◽  
Family History ◽  
Positive Family History ◽  
Anxiety And Depression ◽  
Previous Myocardial Infarction ◽  
History Of ◽  
Seeking Help ◽  
Anxiety Depression

SummaryIn this study we investigated 1) the changes in anxiety, depression and denial from admission to discharge in patients admitted to the intensive care unit following an acute myocardial infarction and 2) the effect of smoking habits, time lapsed from the appearance of symptoms to seeking help behavior, presence of a person that motivated the patient to seek help, previous myocardial infarction (MI) and family history of MI, on these changes. The results indicated that 1) the levels of both anxiety and depression increased from admission to discharge, while denial decreased; 2) positive family history of MI was associated with lower difference of denial between admission and discharge.

scholarly journals A Case Report of Radiofrequency Ablation of Typical Atrial Flutter Combined with Atrial Tachycardia

2021 ◽  
Author(s):  
Chen Chun-hui
Keyword(s):  
Radiofrequency Ablation ◽  
Atrial Flutter ◽  
Cycle Length ◽  
Atrial Tachycardia ◽  
Tricuspid Annulus ◽  
Crista Terminalis ◽  
Typical Atrial Flutter ◽  
History Of ◽  
Focal Atrial Tachycardia ◽  
Endocardial Mapping

A 63-year-old female patient with a history of pulmonary heart disease underwent radiofrequency ablation because ofa persistent atrial flutter. Endocardial mapping with the carto3 system confirmed atrial flutter counterclockwise reentryaround the tricuspid annulus. Routine ablation of the cavo-tricuspid isthmus line to bi-directional block was performed.However, tachycardia with the same cycle length was induced again. After remapping, the tachycardia was confirmedto be focal atrial tachycardia located in the crista terminalis. After ablation, the tachycardia was terminated and couldnot be induced again.

scholarly journals Fahr’s Disease with a Thirty Years History of Seizures.

2020 ◽  
pp. 1-5
Keyword(s):  
Intensive Care Unit ◽  
Psychiatric Symptoms ◽  
Fahr’S Disease ◽  
Mineral Supplements ◽  
Fahr's Disease ◽  
Brain Calcification ◽  
The World ◽  
History Of ◽  
One Year ◽  
Brain Parts

Fahr's disease/Fahr's syndrome is a rare neurological disorder characterized by symmetrical calcification in various brain parts, most commonly in the basal ganglia. We report a case of Fahr's disease in a 72 -years-old female who presented with delirium. Upon further evaluation, she had a history of seizures for thirty years, dementia for eighteen months, extrapyramidal symptoms for one year and psychiatric symptoms for six months. We diagnosed this case as Fahr's disease and managed in the intensive care unit and wards. We discharged her with medications like tetrabenazine, quetiapine, clonazepam, atorvastatin, donepezil, sodium valproate, vitamins and mineral supplements. We followed her progress for seven months. Her motor and neuro-psychiatric recovery during the period has been encouraging. This report highlights the importance of screening for Fahr’s disease in any case of seizure and bilateral brain calcification, which is highly overlooked and misdiagnosed in our part of the world.

scholarly journals Diagnosing Sporadic Creutzfeldt-Jakob Disease in a Patient with a Suspected Status Epilepticus in the Intensive Care Unit

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Harm J. van der Horn ◽  
Peter H. Egbers ◽  
Michaël A. Kuiper ◽  
Wouter J. Schuiling
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Status Epilepticus ◽  
Tau Protein ◽  
Psychiatric Symptoms ◽  
Clinical Signs ◽  
Review Of The Literature ◽  
Protein Determination ◽  
Jakob Disease ◽  
Antiepileptic Drug Therapy

Objective. Several tests are available in the diagnostics of sporadic Creutzfeldt-Jakob disease (sCJD); however, none of these is conclusive. We review the values of these tests, from an intensive care unit (ICU) perspective.Methods. Case report and review of the literature.Results. A 53-year-old woman initially presenting with psychiatric symptoms developed myoclonus and was admitted 1 month later to the ICU with a suspected nonconvulsive status epilepticus and respiratory insufficiency, probably due to extensive antiepileptic drug therapy. Typical MRI and EEG findings and a positive 14-3-3 protein led to the diagnosis of sCJD. All treatments were terminated, and autopsy confirmed sCJD.Conclusions. Clinical signs combined with MRI, EEG, and 14-3-3 and/or tau protein determination might be sufficient to diagnose or exclude sCJD and may therefore prevent the application of unnecessary diagnostic tests.

Public Beliefs About the Helpfulness of Interventions for Depression: Effects on Actions Taken When Experiencing Anxiety and Depression Symptoms

2000 ◽  
Vol 34 (4) ◽  
pp. 619-626 ◽  
Author(s):  
Anthony F. Jorm ◽  
Jo Medway ◽  
Helen Christensen ◽  
Ailsa E. Korten ◽  
Patricia A. Jacomb ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychiatric Symptoms ◽  
Postal Survey ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Public Beliefs ◽  
Actual Use ◽  
History Of

Objective: Previous research has shown that the public have different beliefs to mental health professionals about the helpfulness of interventions for mental disorders. However, it is not known whether the public's beliefs actually influence their behaviour when they develop psychiatric symptoms. Method: A postal survey of 3109 Australian adults was used to assess beliefs about the helpfulness of a broad range of interventions for depression, as well as respondents' current level of anxiety and depression symptoms and any history of treated depression. A follow-up survey of 422 persons who had a high level of symptoms at baseline was conducted 6 months later. These people were asked which interventions they had used to reduce their symptoms. An analysis was carried out to see whether beliefs and other factors at baseline predicted subsequent use of interventions. Results: There were some major discrepancies between the ranking of interventions as likely to be helpful and the ranking of how frequently they were actually used. Interventions involving mental health professionals were often rated as likely to be helpful, but were rarely used in practice. Other simple, cheap and readily available interventions were used the most frequently, but were not the most likely to be rated as helpful. The most consistent predictors across all interventions used were gender, history of treatment, current symptoms and belief in a particular intervention. Of particular interest was the finding that beliefs in the helpfulness of antidepressants predicted their use. However, beliefs were not predictors of use for all interventions. Conclusions: Beliefs about the helpfulness of an intervention did not always predict actual use of that intervention, although beliefs did predict use of antidepressants. Therefore, campaigns that change public beliefs about effective treatments may also influence actual use of treatments. Interventions preferred by professionals are not frequently used at present. Most people with anxiety and depression symptoms rely primarily on simple self-help interventions, the effectiveness of which has been little researched.

Outcomes Following Electroanatomic Mapping and Ablation for the Treatment of Ectopic Atrial Tachycardia in the Pediatric Population

2007 ◽  
Vol 29 (2) ◽  
pp. 393-397 ◽  
Author(s):  
Rose M. Cummings ◽  
William T. Mahle ◽  
Margaret J. Strieper ◽  
Robert M. Campbell ◽  
Lynne Costello ◽  
...  
Keyword(s):  
Atrial Tachycardia ◽  
Pediatric Population ◽  
Electroanatomic Mapping ◽  
Ectopic Atrial Tachycardia

scholarly journals The prevalence and related factors of metabolic syndrome in outpatients with first-episode drug-naive major depression comorbid with anxiety

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yinghua Zhong ◽  
Manji Hu ◽  
Qiang Wang ◽  
Zhendong Yang ◽  
Na Zhu ◽  
...  
Keyword(s):  
Attempted Suicide ◽  
Rating Scale ◽  
Suicide Attempts ◽  
Psychiatric Symptoms ◽  
First Episode ◽  
Chinese Han ◽  
Related Factors ◽  
History Of ◽  
Drug Naïve ◽  
Tsh Levels

AbstractMetabolic syndrome (MetS) is associated with depression, but its role in major depressive disorder comorbid with anxiety (AMD) is unclear. This study aimed to investigate the prevalence and clinical correlates of MetS in first-episode drug-naive (FEDN) patients with AMD in a Chinese Han population. In total, 1380 FEDN outpatients with AMD were recruited in this cross-sectional study. The sociodemographic features, clinical characteristics, history of suicide attempts, thyroid-stimulating hormone (TSH) levels, and MetS parameters of each subject were evaluated. All subjects were rated on the Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), and the Positive and Negative Syndrome Scale positive symptom subscale. The prevalence of MetS among AMD patients was 8.04%. Compared to the non-MetS group, age, age of onset, TSH level, HAM-A and HAM-D scores, history of attempted suicide, and comorbid psychiatric symptoms were higher in the MetS group. Those in this group were also more likely to be married, and they had a lower educational level. Furthermore, age, psychiatric symptoms, suicide attempts, and higher TSH levels were independently associated with MetS in AMD patients. This study suggests a lower prevalence of MetS in FEDN patients with AMD in a Chinese Han population. Older age, comorbid psychiatric symptoms, history of attempted suicide, and higher TSH levels are related factors for MetS in AMD patients.

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