Key result
A 35-year-old man with unrecognized cardiomegaly and a history of extensive stimulant abuse died of asystole following his 14th maintenance electroconvulsive therapy treatment.
Case Report (n=1)
No
Patients with a history of stimulant abuse may have undiagnosed cardiomegaly that increases the risk of sudden cardiac death during ECT, warranting pre-procedural echocardiography.
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Potential asystole risk during ECT in stimulant users with occult cardiomegaly; leaves open whether echocardiography screening is warranted.
Ole J. Thienhaus (2017) conducted a case report in Bipolar disorder with major depressive episode (n=1). Electroconvulsive therapy (ECT) was evaluated on Sudden cardiac death (asystole). A 35-year-old man with unrecognized cardiomegaly and a history of extensive stimulant abuse died of asystole following his 14th maintenance electroconvulsive therapy treatment.
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