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10.1136/bcr-2014-206816

http://scihub22266oqcxt.onion/10.1136/bcr-2014-206816
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suck abstract from ncbi


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pmid25425252
      BMJ+Case+Rep 2014 ; 2014 (ä): ä
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  • 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.
  • |Aged [MESH]
  • |Chest Pain/*etiology [MESH]
  • |Depressive Disorder, Major/*therapy [MESH]
  • |Electroconvulsive Therapy/*adverse effects [MESH]
  • |Female [MESH]
  • |Humans [MESH]


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