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Tijdschrift voor Psychiatrie 60 (2018) 1, 55 - 59

Case report

Takotsubo cardiomyopathy and catatonia in a patient with psychotic depression

W. Kerkhof, K. Abrahams, J. Vandenberghe

Takotsubo cardiomyopathy (tcmp) is an acute, reversible disruption of the left ventricular systolic function. In many respects the clinical presentation closely resembles acute coronary syndromes (myocardial infarction). tcmp is a syndrome with a pathophysiology that is not fully understood and which seems to be closely associated with psychiatric disorders or psychological problems. We present a case in which a patient with several risk factors developed a tcmp and a depression with psychotic features, followed by catatonia. We describe the syndrome, make some pathophysiological hypotheses and point to possible connections with psychiatric disorders and psychological factors.

keywords catatonia, depression, takotsubo cardiomyopathy