Safe administration of ECT in a patient with a cardiac aneurysm and multiple cardiac risk factors.
A 41-year-old man with a left ventricular aneurysm received electroconvulsive therapy (ECT) for treatment of depression, tolerating the procedure without any cardiovascular complications. This case suggests that ECT may be safely administered to patients with ventricular aneurysm and multiple cardiac risk factors provided that additional precautions are taken.
Gardner
M W
MW
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston 29425-0742, U.S.A.
Kellner
C H
CH
Hood
D E
DE
Hendrix
G H
GH
D000286:Administration, Sublingual; D000328:Adult; D003866:Depressive Disorder / Q000503:physiopathology / Q000628:therapy*; D004565:Electroconvulsive Therapy; D006322:Heart Aneurysm / Q000175:diagnosis / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000503:physiopathology; D005996:Nitroglycerin / Q000008:administration & dosage; D011292:Premedication; D012307:Risk Factors; D013614:Tachycardia, Paroxysmal / Q000175:diagnosis / Q000503:physiopathology*; D016277:Ventricular Function, Left / Q000187:drug effects / Q000502:physiology
D005996:Nitroglycerin