title: Electroconvulsive therapy in patients with aortic stenosis.
abstract: Aortic stenosis confers an increased risk of complications during procedures with general anesthesia. There are no previously reported cases of electroconvulsive therapy (ECT) in patients with this valvular defect. Two cases are described of patients with moderate to severe aortic stenosis confirmed by echocardiography in whom courses of ECT resulted in clinical improvement without untoward cardiac complications. It is concluded that ECT can be safely given to patients with aortic stenosis in whom left ventricular function is normal.
authors.affiliation: Department of Psychiatry, Medical College of Virginia, Richmond 23298-0710, U.S.A.
authors.forename: K G
authors.initials: KG
authors.lastname: Rasmussen
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000341:Affective Disorders, Psychotic / Q000503:physiopathology / Q000628:therapy*; D000368:Aged; D000768:Anesthesia, General; D001021:Aortic Valve / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000503:physiopathology*; D001714:Bipolar Disorder / Q000503:physiopathology / Q000628:therapy*; D003866:Depressive Disorder / Q000503:physiopathology / Q000628:therapy*; D004452:Echocardiography; D004562:Electrocardiography / Q000187:drug effects; D004565:Electroconvulsive Therapy; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D010348:Patient Care Team; D011292:Premedication; D011412:Propanolamines / Q000008:administration & dosage; D016277:Ventricular Function, Left / Q000187:drug effects / Q000502:physiology
chemical_list: D000319:Adrenergic beta-Antagonists; D011412:Propanolamines; C036604:esmolol