March 1, 2000Journal of Ect

Hemodynamic Responses to ECT in a Patient with Critical Aortic Stenosis

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Population

46-year-old woman with psychotic depressive illness, critical aortic stenosis, severe labile hypertension…

Design

Case_report

Follow-up

96 hours after the fourth ECT

Authors

LLLaura LevinFarmington Community Library DWDaniel WamboldNew York University Langone Orthopedic Hospital AVAdele C. VigueraCleveland Clinic Lerner College of Medicine

Discussion

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Implication

Sudden death risk persists after ECT in critical aortic stenosis despite periprocedural control; this case leaves open procedural safety in valvular disease.

Structured PICO

Population

46-year-old woman with psychotic depressive illness (2 months duration), critical aortic stenosis, severe labile hypertension, renal failure on hemodialysis (7 years duration), and systemic lupus (n=1).

Intervention

Electroconvulsive therapy (ECT) managed with oral metoprolol, intravenous esmolol, and sodium nitroprusside.

Outcome

Hemodynamic response and survival during and after ECT.safety

While hemodynamic responses to ECT in a patient with critical aortic stenosis can be managed with beta-blockers and vasodilators, the underlying valvular disease carries a high risk of sudden death.

Cite This Study

Levin et al. (2000) studied this question.

synapsesocial.com/papers/6a95c2128cd27757a8d037fb https://doi.org/10.1097/00124509-200003000-00007

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Implication

Sudden death risk persists after ECT in critical aortic stenosis despite periprocedural control; this case leaves open procedural safety in valvular disease.

Hemodynamic Responses to ECT in a Patient with Critical Aortic Stenosis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Hemodynamic Responses to ECT in a Patient with Critical Aortic Stenosis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider