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2014 ; 2014
(ä): ä Nephropedia Template TP
gab.com Text
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English Wikipedia
Takotsubo cardiomyopathy following electroconvulsive therapy: an increasingly
recognised phenomenon
#MMPMID25425252
Narayanan A
; Russell MD
; Sundararaman S
; Shankar KK
; Artman B
BMJ Case Rep
2014[Nov]; 2014
(ä): ä PMID25425252
show ga
Treatment of patients with severe depressive illnesses requiring
electroconvulsive therapy (ECT) is challenging. This is compounded by the
presence of physical comorbidities and potential complications. We report the
case of a patient, on long-term bisoprolol, who developed acute epigastric pain
and dyspnoea shortly after receiving ECT for treatment-refractory depression. An
ECG showed new-onset ischaemic changes and a troponin-I level was elevated at
12?h. A diagnosis of Takotsubo cardiomyopathy was reached following angiography,
which demonstrated left ventricular hypokinesia in the absence of coronary artery
disease. With supportive treatment the patient made a good recovery. This report
highlights the risk of developing Takotsubo cardiomyopathy following ECT despite
?-adrenergic receptor blockade, and adds to a growing number of cases reporting
this complication. Clinicians involved in the care of patients undergoing ECT
must be aware of this complication and should consider Takotsubo cardiomyopathy
in patients who develop atypical chest pain after ECT.