Key result
Modified electroconvulsive therapy was safely administered over six sessions in an adolescent with uncorrected atrial septal defect, reducing the catatonia rating scale score from 14 to 2 without hemodynamic instability.
Why the study?
ECT administration in patients with cardiac diseases remains debatable, with limited literature available on its use in congenital heart disease, particularly uncorrected atrial septal defect.
Is modified electroconvulsive therapy safe in an adolescent with catatonia and an uncorrected atrial septal defect?
Population
An 18-year-old male with catatonia, persistent mutism, and uncorrected ASD
Comparison
Six cycles of modified ECT
Design
Case report
Authors
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Should not yet alter ECT protocols in cardiac disease; case reports leave open need for systematic safety data.
Case Report (n=1)
No
Is modified electroconvulsive therapy safe in an adolescent with catatonia and an uncorrected atrial septal defect?
Modified electroconvulsive therapy can be safely administered in patients with uncorrected atrial septal defect when managed with appropriate anesthetic considerations by a multidisciplinary team.
Bansal et al. (2024) conducted a case report in Catatonia and uncorrected Atrial Septal Defect (n=1). Modified Electroconvulsive Therapy (ECT) was evaluated on Safety (hemodynamic stability) and efficacy (Bush-Francis Catatonia Rating Scale score). Modified electroconvulsive therapy was safely administered over six sessions in an adolescent with uncorrected atrial septal defect, reducing the catatonia rating scale score from 14 to 2 without hemodynamic instability.
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