title: Atrioventricular dissociation after electroconvulsive therapy.
abstract: Electroconvulsive therapy (ECT) is increasingly used as a treatment for psychiatric disorders. Cardiac effects are the principal cause of medical complications in these patients. We report a case of atrioventricular (AV) dissociation that occurred after ECT that was treated with pacemaker implantation. The mechanisms contributing to the onset of AV dissociation in this patient, and the management and rationale for device therapy, in light of the most recent guidelines, are reviewed.
authors.affiliation: Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL 62711, USA.
authors.forename: Siegfried William
authors.initials: SW
authors.lastname: Yu
authors.forename: Srikanth
authors.initials: S
authors.lastname: Vallurupalli
authors.forename: Jennifer
authors.initials: J
authors.lastname: Arnoldi
authors.forename: Richard
authors.initials: R
authors.lastname: Holloway