Somatoform disorders are disorders in which “psychic energy” is transferred to somatic symptoms secondary to stressors. The concept of somatoform disorders and their associations among patients with cardiac disease is a relatively unfamiliar area.
Objective
The authors present a case that illustrates how conversion disorder, a specific type of somatoform disorder, may be associated with the psychologic stressor involved with cardiac angiography. The authors will discuss the literature concerning the identification and treatment of this disorder.
Methods
The relevent literature in the area of conversion disorder and cardiac angiography was reviewed.
Results
This report is the first documented case of a woman who developed conversion disorder after coronary catherization. Using the case, a summary of diagnostic and treatment modalities used in this disorder is provided.
Conclusions
The case highlights how conversion disorder can occur as a sequelae of coronary catheterization. The principles involved in the diagnosis and treatment of conversion disorder were successful in managing this patient. It is hoped that the case can aid cardiologists in becoming cognizant of this uncommon psychiatric disorder.
bDivision of Medical Psychiatry, St. Michael’s Hospital and University of Toronto, Toronto, Ontario.
Reprint requests: Shree Bhalerao, BSc, BA, PGD, MD, FRCPC, Medical Psychiatry, St Michael’s Hospital and University of Toronto, 30 Bond Street, 17th Floor Victoria Wing, Room 17046, Toronto, Ontario M5B 1W8.
ABSTRACT