title: Clinical Challenges in Maintenance Electroconvulsive Therapy for Older Patients With Medical Comorbidity.
abstract: As patients receiving maintenance electroconvulsive therapy (MECT) age, many will acquire medical illnesses that may complicate their course of ECT and the treatment of their underlying psychiatric conditions. In this study, we present 7 cases of patients receiving MECT whose medical illnesses resulted in clinical reassessment of whether or not MECT should be continued. We discuss clinical implications and considerations for treating medically ill patients with MECT.
authors.affiliation: From the Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
authors.forename: Bruce
authors.initials: B
authors.lastname: Sutor
authors.forename: Keith G
authors.initials: KG
authors.lastname: Rasmussen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000150:complications; D001281:Atrial Fibrillation / Q000150:complications; D015897:Comorbidity; D003324:Coronary Artery Disease / Q000150:complications; D003865:Major Depressive Disorder / Q000150:complications / Q000628:therapy; D004565:Electroconvulsive Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D002532:Intracranial Aneurysm / Q000150:complications; D041781:Jaundice, Obstructive / Q000150:complications; D008207:Lymphatic Metastasis; D008297:Male; D001523:Mental Disorders / Q000150:complications* / Q000628:therapy*; D008875:Middle Aged; D011618:Psychotic Disorders / Q000150:complications / Q000628:therapy; D016896:Treatment Outcome