Key result
Electroconvulsive therapy (ECT) was associated with a myocardial infarction and subsequent fatal acute coronary insufficiency in a patient with significant coronary heart disease.
Why the study?
Does electroconvulsive therapy trigger coronary death in persons with significant coronary heart disease?
Case Report (n=1)
Does electroconvulsive therapy trigger coronary death in persons with significant coronary heart disease?
Electroconvulsive therapy may trigger myocardial infarction and fatal coronary death in patients with significant coronary heart disease.
Suggests possible MI risk with ECT in severe CHD; single case report is hypothesis-generating and does not change practice.
Deaths due to coronary accidents during or following electroconvulsive therapy (ECT) have been repeatedly reported. The connection between ECT and these deaths could only be presumptive. Our patient suffered a myocardial infarction during his first ECT and a fatal acute coronary insufficiency during his second ECT, given three months later. These two incidents together strongly suggest that ECT may trigger coronary death in persons with significant coronary heart disease.
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Allen E. Hussar (1968) conducted a case report in Coronary heart disease (n=1). Electroconvulsive therapy (ECT) was evaluated on Myocardial infarction and fatal acute coronary insufficiency. Electroconvulsive therapy (ECT) was associated with a myocardial infarction and subsequent fatal acute coronary insufficiency in a patient with significant coronary heart disease.
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