Key result
Electroconvulsive therapy in depressed patients with cardiac rhythm management devices was performed with pacemakers in sensing mode in 90% of 821 sessions, suggesting it is safe in this population.
Why the study?
Is electroconvulsive therapy safe in depressed patients with cardiac rhythm management devices?
Population
Depressed patients with cardiac rhythm management devices including pacemakers and implantable cardioverter…
Design
Review
Authors
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May support ECT in CRMD patients under monitoring; challenges guidelines on sensing mode yet remains hypothesis-generating.
Is electroconvulsive therapy safe in depressed patients with cardiac rhythm management devices?
Electroconvulsive therapy appears safe in depressed patients with cardiac rhythm management devices, and current clinical practice often safely leaves synchronous demand pacemakers in sensing mode, challenging some empirical guidelines.
Kokras et al. (2011) conducted a review in Depression with cardiac rhythm management devices (n=63). Electroconvulsive therapy was evaluated on Pacemaker mode during ECT sessions. Electroconvulsive therapy in depressed patients with cardiac rhythm management devices was performed with pacemakers in sensing mode in 90% of 821 sessions, suggesting it is safe in this population.
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