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Noncompaction and Dilated Cardiomyopathy in a Patient with Schizophrenia
Josef Finsterer1, Claudia Stöllberger2
1Krankenanstalt Rudolfstiftung, 1030 Vienna, Austria.
Case Reports in Cardiology
|August 23, 2016
Summary
This case report details a patient with schizophrenia who developed dilated cardiomyopathy and left ventricular hypertrabeculation (LVHT). It highlights the potential association between psychosis and LVHT, emphasizing careful patient management.
Area of Science:
- Cardiology
- Psychiatry
- Medical Imaging
Background:
- Left ventricular hypertrabeculation (LVHT) and psychosis are distinct conditions.
- No prior reports describe LVHT in patients with a history of psychosis.
Purpose of the Study:
- To report a unique case of a patient with schizophrenia, dilated cardiomyopathy (dCMP), and LVHT.
- To discuss the potential association and management challenges.
Main Methods:
- Case report of a 47-year-old male with schizophrenia.
- Diagnostic tools included transthoracic echocardiography and cardiac MRI.
- Coronary angiography was performed to rule out ischemic causes.
Main Results:
- The patient presented with heart failure, enlarged left ventricle, reduced systolic function, and LVHT.
- Cardiac MRI confirmed echocardiographic findings; coronary angiography was normal.
- Dilated cardiomyopathy was diagnosed, potentially linked to alcohol and long-term antipsychotic medication (clozapine).
Conclusions:
- LVHT may be associated with schizophrenia.
- Managing LVHT in psychotic patients is challenging due to compliance issues.
- Patients with LVHT and psychosis require special attention due to potential cardiotoxic medication effects.
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