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Asystole during electroconvulsive therapy: a case report.

W K Tang¹, G S Ungvari

¹Department of Psychiatry, The Chinese Univeersity of Hong Kong, Prince of Wales Hospital, Shatin, NT. tangwk@cuhk.edu.hk

The Australian and New Zealand Journal of Psychiatry

|July 5, 2001

Summary

This summary is machine-generated.

A patient experienced an 18-second asystole during electroconvulsive therapy (ECT) without prior heart issues. Atropine premedication and adjusted ECT protocols prevented recurrence, allowing continued treatment.

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Area of Science:

Cardiology
Neurology
Psychiatry

Background:

Electroconvulsive therapy (ECT) is a treatment for severe depression.
Cardiovascular complications, though rare, can occur during ECT.

Observation:

A 65-year-old male patient without cardiovascular history developed an 18-second asystole after a subconvulsive stimulus during ECT.
The asystole was followed by transient bradycardia, which resolved spontaneously.

Findings:

Asystole did not recur in subsequent ECT sessions after intravenous atropine premedication and use of suprathreshold stimuli.
The patient had a history of depression and had previously responded well to ECT.

Implications:

Asystole during ECT does not necessarily require treatment suspension.
Atropine premedication and modified ECT parameters can mitigate the risk of asystole.
Careful patient selection and monitoring are crucial for safe ECT administration.