Case study in heart-brain interplay: a 53-year-old woman recovering from mitral valve repair.
This article presents the case of a 53-year-old female attorney who underwent successful mitral valve repair for mitral valve prolapse. The patient's postoperative course was marked by refractory pain, fatigue, shortness of breath, refusal to ambulate, frequent episodes of tearfulness, and a postsurgical decline in ejection fraction through postoperative week 4. Her slow recovery prompted a psychiatric consult, during which she reported panic and a fear of "losing it." After respective presentations of the case from the cardiology and psychiatry perspectives, the article concludes with a moderated discussion of the case to explore insights it provides into heart-brain interactions.
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Thomas D
TD
Callahan
Ubaid
U
Khokhar
Leo
L
Pozuelo
James B
JB
Young
D000223:Adaptation, Psychological; D000339:Affect; D000928:Antidepressive Agents / Q000627:therapeutic use; D003863:Depression / Q000150:complications* / Q000188:drug therapy; D005221:Fatigue / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery*; D011184:Postoperative Period; D011603:Psychophysiology; D012307:Risk Factors; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use
D000928:Antidepressive Agents; D017367:Selective Serotonin Reuptake Inhibitors