Cardiac rhythm disturbance in a depressed patient after implantation with a vagus nerve stimulator

Amy H. Singleton, Peter B. Rosenquist, James Kimball, W. Vaughn McCall

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A 52-year-old woman with a long-standing history of treatment-resistant depression failed multiple courses of electroconvulsive therapy and various trials of antidepressant medications. As a result, the patient was deemed a good candidate for vagus nerve stimulation (VNS) therapy and underwent VNS insertion in May 2006. However, in December 2007, she began to experience recurrent falls and was referred to a cardiologist for a syncope evaluation. During a portable 30-day cardiac event recording, she was noted to have intermittent second- and third-degree heart block with ventricular standstill, which was felt by her cardiologist to be associated with VNS stimulation. We believe this to be the first reported case of heart block related to VNS in a depressed patient.

Original languageEnglish (US)
Pages (from-to)195-197
Number of pages3
JournalJournal of ECT
Volume25
Issue number3
DOIs
StatePublished - Sep 1 2009

Fingerprint

Vagus Nerve Stimulation
Vagus Nerve
Heart Block
Treatment-Resistant Depressive Disorder
Electroconvulsive Therapy
Syncope
Antidepressive Agents
Cardiologists

Keywords

  • Asystole
  • Bradycardia
  • Depression
  • Electrocardiogram
  • Rhythm abnormality
  • VNS
  • Vagus nerve stimulator

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

Cite this

Cardiac rhythm disturbance in a depressed patient after implantation with a vagus nerve stimulator. / Singleton, Amy H.; Rosenquist, Peter B.; Kimball, James; McCall, W. Vaughn.

In: Journal of ECT, Vol. 25, No. 3, 01.09.2009, p. 195-197.

Research output: Contribution to journalArticle

@article{0d05c3410ac746e4bdea8ee3bd36309d,
title = "Cardiac rhythm disturbance in a depressed patient after implantation with a vagus nerve stimulator",
abstract = "A 52-year-old woman with a long-standing history of treatment-resistant depression failed multiple courses of electroconvulsive therapy and various trials of antidepressant medications. As a result, the patient was deemed a good candidate for vagus nerve stimulation (VNS) therapy and underwent VNS insertion in May 2006. However, in December 2007, she began to experience recurrent falls and was referred to a cardiologist for a syncope evaluation. During a portable 30-day cardiac event recording, she was noted to have intermittent second- and third-degree heart block with ventricular standstill, which was felt by her cardiologist to be associated with VNS stimulation. We believe this to be the first reported case of heart block related to VNS in a depressed patient.",
keywords = "Asystole, Bradycardia, Depression, Electrocardiogram, Rhythm abnormality, VNS, Vagus nerve stimulator",
author = "Singleton, {Amy H.} and Rosenquist, {Peter B.} and James Kimball and McCall, {W. Vaughn}",
year = "2009",
month = "9",
day = "1",
doi = "10.1097/YCT.0b013e318193e117",
language = "English (US)",
volume = "25",
pages = "195--197",
journal = "Journal of ECT",
issn = "1095-0680",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Cardiac rhythm disturbance in a depressed patient after implantation with a vagus nerve stimulator

AU - Singleton, Amy H.

AU - Rosenquist, Peter B.

AU - Kimball, James

AU - McCall, W. Vaughn

PY - 2009/9/1

Y1 - 2009/9/1

N2 - A 52-year-old woman with a long-standing history of treatment-resistant depression failed multiple courses of electroconvulsive therapy and various trials of antidepressant medications. As a result, the patient was deemed a good candidate for vagus nerve stimulation (VNS) therapy and underwent VNS insertion in May 2006. However, in December 2007, she began to experience recurrent falls and was referred to a cardiologist for a syncope evaluation. During a portable 30-day cardiac event recording, she was noted to have intermittent second- and third-degree heart block with ventricular standstill, which was felt by her cardiologist to be associated with VNS stimulation. We believe this to be the first reported case of heart block related to VNS in a depressed patient.

AB - A 52-year-old woman with a long-standing history of treatment-resistant depression failed multiple courses of electroconvulsive therapy and various trials of antidepressant medications. As a result, the patient was deemed a good candidate for vagus nerve stimulation (VNS) therapy and underwent VNS insertion in May 2006. However, in December 2007, she began to experience recurrent falls and was referred to a cardiologist for a syncope evaluation. During a portable 30-day cardiac event recording, she was noted to have intermittent second- and third-degree heart block with ventricular standstill, which was felt by her cardiologist to be associated with VNS stimulation. We believe this to be the first reported case of heart block related to VNS in a depressed patient.

KW - Asystole

KW - Bradycardia

KW - Depression

KW - Electrocardiogram

KW - Rhythm abnormality

KW - VNS

KW - Vagus nerve stimulator

UR - http://www.scopus.com/inward/record.url?scp=70349108806&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349108806&partnerID=8YFLogxK

U2 - 10.1097/YCT.0b013e318193e117

DO - 10.1097/YCT.0b013e318193e117

M3 - Article

C2 - 19384253

AN - SCOPUS:70349108806

VL - 25

SP - 195

EP - 197

JO - Journal of ECT

JF - Journal of ECT

SN - 1095-0680

IS - 3

ER -