Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output

There is limited literature on the use of electroconvulsive therapy (ECT) in patients with recent myocardial infarction and in those with reduced cardiac output. In this report, we describe the safe use of ECT in a 70-year-male suffering from severe depressive episode with psychotic symptoms. He had...

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Main Authors: Sandeep Grover, K Suchendra, Aseem Mehra, Vijay Parkash, Vikas Saini, Shiv Bagga
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Industrial Psychiatry Journal
Subjects:
Online Access:http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2015;volume=24;issue=2;spage=195;epage=197;aulast=Grover
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author Sandeep Grover
K Suchendra
Aseem Mehra
Vijay Parkash
Vikas Saini
Shiv Bagga
author_facet Sandeep Grover
K Suchendra
Aseem Mehra
Vijay Parkash
Vikas Saini
Shiv Bagga
author_sort Sandeep Grover
collection DOAJ
description There is limited literature on the use of electroconvulsive therapy (ECT) in patients with recent myocardial infarction and in those with reduced cardiac output. In this report, we describe the safe use of ECT in a 70-year-male suffering from severe depressive episode with psychotic symptoms. He had a history of poor response to adequate pharmacotherapy and had suffered from myocardial infraction (MI), about 3 weeks prior to admission to the psychiatric unit. In view of severe depression associated with marked anxiety, agitation, psychotic symptoms, and poor food intake he was started on ECT after 5 weeks of MI when his cardiac output was only 30%. He received nine sessions of ECT without any cardiac complications and his depression remitted with ECT.
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spelling doaj.art-e8fec6c3d68a496ba3a67380255c034e2022-12-21T18:49:48ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67482015-01-0124219519710.4103/0972-6748.181725Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac outputSandeep GroverK SuchendraAseem MehraVijay ParkashVikas SainiShiv BaggaThere is limited literature on the use of electroconvulsive therapy (ECT) in patients with recent myocardial infarction and in those with reduced cardiac output. In this report, we describe the safe use of ECT in a 70-year-male suffering from severe depressive episode with psychotic symptoms. He had a history of poor response to adequate pharmacotherapy and had suffered from myocardial infraction (MI), about 3 weeks prior to admission to the psychiatric unit. In view of severe depression associated with marked anxiety, agitation, psychotic symptoms, and poor food intake he was started on ECT after 5 weeks of MI when his cardiac output was only 30%. He received nine sessions of ECT without any cardiac complications and his depression remitted with ECT.http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2015;volume=24;issue=2;spage=195;epage=197;aulast=GroverElderlyelectroconvulsive therapylow cardiac outputmyocardial infraction
spellingShingle Sandeep Grover
K Suchendra
Aseem Mehra
Vijay Parkash
Vikas Saini
Shiv Bagga
Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output
Industrial Psychiatry Journal
Elderly
electroconvulsive therapy
low cardiac output
myocardial infraction
title Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output
title_full Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output
title_fullStr Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output
title_full_unstemmed Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output
title_short Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output
title_sort use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30 cardiac output
topic Elderly
electroconvulsive therapy
low cardiac output
myocardial infraction
url http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2015;volume=24;issue=2;spage=195;epage=197;aulast=Grover
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