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Related Experiment Videos

ECT and automatic internal cardioverter-defibrillator.

M I Lapid1, T A Rummans, V E Hofmann

  • 1Department of Psychiatry, Mayo Clinic, Rochester, Minnesota 55905, USA.

The Journal of ECT
|June 22, 2001
PubMed
Summary
This summary is machine-generated.

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Electroconvulsive therapy (ECT) is safe for patients with automatic internal cardioverter-defibrillators (AICDs). Deactivating the AICD during ECT and reactivating it afterward allows safe treatment for refractory depression.

Area of Science:

  • Cardiology
  • Psychiatry
  • Neurology

Background:

  • Electroconvulsive therapy (ECT) is a recognized treatment for severe depression.
  • Cardiovascular safety of ECT is well-established, but data on patients with implanted devices is limited.

Observation:

  • A case report details a patient with treatment-refractory depression and an automatic internal cardioverter-defibrillator (AICD).

Findings:

  • The patient successfully underwent ECT with temporary deactivation of the AICD during each session.
  • The AICD was reactivated immediately post-ECT, with no reported adverse events.

Implications:

  • The findings suggest that AICD presence should not contraindicate ECT.
  • Careful management, including device deactivation/reactivation, enables safe ECT administration in this patient population.

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