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- Title
Electroconvulsive Therapy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators.
- Authors
DOLENC, TAMARA J.; BARNES, ROXANN D.; HAYES, DAVID L.; RASMUSSEN, KEITH G.
- Abstract
DOLENC, T.J.,et al.: Electroconvulsive Therapy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators. Electroconvulsive therapy (ECT) is used to treat major depressive illness, especially in elderly and medically frail patients. Not uncommonly, these patients have cardiac pacemakers or implantable cardioverter defibrillators (ICDs). Only a few case reports in the literature describe the use of ECT in such patients. Herein we review our ECT experience treating 26 pacemaker patients and 3 ICD patients. All patients obtained significant antidepressant benefits with ETC. Only one serious cardiac event occurred, a case of supraventricular tachycardia (SVT) requiring a stay on the cardiac intensive care unit. The SVT resolved and the patient went on to receive further uncomplicated ECT treatments. We conclude from this experience that with proper pre-ECT cardiac and pacemaker/defibrillator assessment, ECT can be safely and effectively administered to patients with an implanted cardiac device.(PACE 2004; 27:1257–1263)
- Subjects
ELECTROCONVULSIVE therapy; CARDIAC pacemakers; IMPLANTABLE cardioverter-defibrillators; FRAIL elderly; TACHYCARDIA
- Publication
Pacing & Clinical Electrophysiology, 2004, Vol 27, Issue 9, p1257
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/j.1540-8159.2004.00617.x