期刊
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
卷 27, 期 9, 页码 1257-1263出版社
WILEY
DOI: 10.1111/j.1540-8159.2004.00617.x
关键词
electroconvulsive therapy; cardiac pacemaker; implantable cardioverter defibrillator
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 on implanted cardiac device.
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