Electroconvulsive therapy in the setting of implantable cardioverter-defibrillators

Asha Davis, Marc Zisselman, Tony Simmons, W. Vaughn McCall, John McCafferty, Peter B. Rosenquist

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Electroconvulsive therapy has potent cardiovascular effects, which may pose a challenge in treating patients with preexisting cardiac disease. Although it is well studied in the treatment of refractory depression, there are still pitfalls to overcome when treating those with comorbid cardiovascular disease. The synergistic effects of depression and cardiovascular disease in affecting the morbidity and mortality of patients make treatment a significant issue. The authors discuss 3 elderly patients treated for major depression, all of whom previously had implantable cardioverter-defibrillators placed. All 3 patients were effectively treated, with no major adverse effects. The cases illustrate how taking the appropriate preventative measures allow even the most medically challenging patient to undergo effective treatment and highlight the debate surrounding the intraoperative management of implantable cardioverter- defibrillator devices.

Original languageEnglish (US)
Pages (from-to)198-201
Number of pages4
JournalJournal of ECT
Volume25
Issue number3
DOIs
StatePublished - Sep 1 2009
Externally publishedYes

Keywords

  • Arrhythmias
  • Cardiovascular disease
  • Elderly
  • Electroconvulsive therapy
  • Heart failure
  • ICD
  • Implantable cardioverter-defibrillator
  • Major depression
  • Pacemakers

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

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