ECT with Implantable Cardioverter Defibrillator

Pornnoppadol, Chanvit; Isenberg, Keith

doi:10.1097/00124509-199806000-00013

Cited by 12 publications

(7 citation statements)

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“…It is not uncommon in ECT practice to encounter a patient with either a cardiac pacemaker or an implantable cardioverter defibrillator (ICD). In the relatively few case reports of the use of ECT in patients with an implanted cardiac device, ECT appears to be safe 2–13 . In reviewing the database of our tertiary care referral center, we found records for 29 cardiac device patients who had undergone ECT, 26 of whom had a cardiac pacemaker and 3 of whom had an ICD.…”

Section: Introductionmentioning

confidence: 99%

Electroconvulsive Therapy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators

Dolenc¹,

Barnes²,

Hayes

et al. 2004

Pacing Clinical Electrophis

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Electroconvulsive therapy (ECT) is used to treat major depressive illness, especially in elderly and medically frail patients. Not uncommonly, these patients have cardiac pacemakers or implantable cardioverter defibrillators (ICDs). Only a few case reports in the literature describe the use of ECT in such patients. Herein we review our ECT experience treating 26 pacemaker patients and 3 ICD patients. All patients obtained significant antidepressant benefits with ETC. Only one serious cardiac event occurred, a case of supraventricular tachycardia (SVT) requiring a stay on the cardiac intensive care unit. The SVT resolved and the patient went on to receive further uncomplicated ECT treatments. We conclude from this experience that with proper pre-ECT cardiac and pacemaker/defibrillator assessment, ECT can be safely and effectively administered to patients with an implanted cardiac device.

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Section: Introductionmentioning

confidence: 99%

Electroconvulsive Therapy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators

Dolenc¹,

Barnes²,

Hayes

et al. 2004

Pacing Clinical Electrophis

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“…This frequently induces transient arrhythmias, and therefore current recommendations are that the AICD should be deactivated before the administration of each treatment and reactivated on completion, in order to minimise the risk of an inappropriate shock [20]. However, more recently, successful use of ECT without deactivation has been reported [21].…”

Section: Discussionmentioning

confidence: 99%

Laser surgery in a patient with Romano‐Ward (long QT) syndrome and an automatic implantable cardioverter defibrillator

Jones¹,

Mason

2000

Anaesthesia

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A 48-year-old woman with Romano-Ward syndrome (a hereditary long QT syndrome), asthma and an automatic implantable cardioverter defibrillator presented for laser surgery for debulking of a massive nasopharyngeal tumour prior to radiotherapy. Automatic implantable cardioverter defibrillators have only relatively recently been used to treat patients with the long QT syndrome and are indicated for the high-risk individual when conventional treatment has failed or when beta-blockers are contraindicated. If surgery requires the use of surgical diathermy, a cardiac technician must be present to deactivate the defibrillator and external pacing electrodes are sited on the chest until the defibrillator can be reactivated. Radiotherapy requires both deactivation and shielding of the device.

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“…Patients with pacemakers can safely undergo ECT. Automatic implantable cardiac defibrillators (AICD) may be temporarily deactivated before ECT, 70 but ECT has been safely done with an AICD active as well 71 …”

Section: Medical Managementmentioning

confidence: 99%

“…Automatic implantable cardiac defibrillators (AICD) may be temporarily deactivated before ECT," but ECT has been safely done with an AICD active as well. 71 Older patients should be systematically evaluated both before ECT, for baseline mental status including mood and cognition, and after ECT, for delirium or cognitive side effects. Standard scales should be used such as the Folstein Mini-Mental State Exam (MMSE).72 In most cases, a subsequent ECT treatment should not occur until the delirium has cleared and the cognition has returned close to baseline.…”

Section: Medical Managementmentioning

confidence: 99%

Update on Electroconvulsive Therapy (ECT) in Older Adult

Kelly

Zisselman

2000

J American Geriatrics Society

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Electroconvulsive therapy (ECT) is used increasingly in the older adult population for major depression, particularly when depression is not responsive to medications, when antidepressants are not tolerated due to side effects, or when depression is accompanied by life-threatening complications such as severe weight loss or catatonia where a rapid definitive response is required. ECT is considered a low-risk procedure that can be successfully done in medically ill older adults, but it is associated with a brief period of increased blood pressure and pulse leading to increased myocardial oxygen demand. ECT may cause delirium, particularly in the cognitively impaired older. As successful management of older patients undergoing a course of ECT often involves geriatricians and other medical practitioners, this review provides an update on the indications for ECT, how it is done, the common complications seen after the procedure, and its efficacy. Finally, specific recommendations for management are made.

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ECT with Implantable Cardioverter Defibrillator

Cited by 12 publications

References 0 publications

Electroconvulsive Therapy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators

Electroconvulsive Therapy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators

Laser surgery in a patient with Romano‐Ward (long QT) syndrome and an automatic implantable cardioverter defibrillator

Update on Electroconvulsive Therapy (ECT) in Older Adult

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