Key result
Modified bilateral electroconvulsive therapy was safely administered and achieved clinical remission in a 74-year-old female with severe depression and severe aortic stenosis.
Why the study?
Can modified bilateral electroconvulsive therapy be safely administered to an elderly patient with severe aortic stenosis?
Case Report (n=1)
No
Can modified bilateral electroconvulsive therapy be safely administered to an elderly patient with severe aortic stenosis?
Electroconvulsive therapy can be safely administered in elderly patients with severe aortic stenosis when appropriate precautions, such as esmolol pretreatment and careful hemodynamic monitoring, are utilized.
May support cautious modified bilateral ECT use in elderly severe AS with monitoring; leaves open generalizability from single case.
Electroconvulsive therapy (ECT) is one of the safest treatment options for psychiatric illnesses with no absolute contraindications. However, certain medical conditions including cardiac ailments such as aortic stenosis are associated with increased risk with ECT. We present the case of a 74-year-old female who was suffering from severe depression with psychotic symptoms (which had not responded to two adequate trials of antidepressants), along with severe aortic stenosis, who was managed with modified bilateral ECT and review the available literature.
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Singla et al. (2018) conducted a case report in Severe depression with psychotic symptoms and severe aortic stenosis (n=1). Electroconvulsive therapy (ECT) was evaluated on Clinical remission and safety. Modified bilateral electroconvulsive therapy was safely administered and achieved clinical remission in a 74-year-old female with severe depression and severe aortic stenosis.
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