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Pulmonary embolism after ECT.

Daniel Mamah1, Markus Lammle, Keith E Isenberg

  • 1Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri 63110-1093, USA. mamahd@psychiatry.wustl.edu

The Journal of ECT
|March 26, 2005
PubMed
Summary
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Electroconvulsive therapy (ECT) is generally safe, but this case highlights a rare complication. Pulmonary embolism (PE) can occur during ECT, emphasizing the need for vigilance in patients with risk factors.

Area of Science:

  • Neurology
  • Cardiology
  • Psychiatry

Background:

  • Electroconvulsive therapy (ECT) is a widely used psychiatric treatment known for its safety profile.
  • Life-threatening complications from ECT are infrequent, with pulmonary embolism (PE) being exceptionally rare.

Observation:

  • A 50-year-old male patient with depression, hypertension, and diabetes experienced symptoms suggestive of PE immediately after awakening from his eighth right unilateral ECT session.
  • Spiral chest computed tomography confirmed the diagnosis of pulmonary embolism.

Findings:

  • This case report details a rare, nonfatal instance of pulmonary embolism occurring during electroconvulsive therapy.
  • The occurrence highlights potential risks even in a generally safe procedure, particularly in patients with comorbidities.

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Implications:

  • Clinicians should maintain a high index of suspicion for PE in patients presenting with relevant symptoms post-ECT.
  • Understanding risk factors and prompt diagnosis are crucial for managing this rare but serious complication of ECT.
  • Further research into preventative strategies and management protocols for PE in ECT patients may be warranted.