Key result
Older patients with preexisting cardiac risk factors undergoing ECT had more minor complications but no significant difference in major complications compared to standard-risk patients.
Why the study?
Does ECT increase the rate of major medical complications in older patients with preexisting cardiovascular risk compared to those with standard risk?
Population
80 consecutive patients who received ECT from August 1990 to August 1991, specifically analyzing a subset of…
Comparison
Electroconvulsive therapy in patients at… vs Electroconvulsive therapy in patients at…
Design
Case-control
Follow-up
During ECT
Authors
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May support monitored ECT in high-risk elderly; leaves open randomized confirmation of major complication rates.
Case-Control (n=80)
No
Does ECT increase the rate of major medical complications in older patients with preexisting cardiovascular risk compared to those with standard risk?
ECT appears relatively safe for elderly patients with preexisting cardiac risk factors, provided they are carefully managed, as it does not significantly increase major cardiovascular complications compared to standard-risk patients.
Rice et al. (1994) conducted a case-control in Preexisting cardiovascular disease in patients receiving ECT (n=80). Preexisting cardiac risk factors vs. Standard cardiac risk was evaluated on Clinically relevant medical complications (major and minor). Older patients with preexisting cardiac risk factors undergoing ECT had more minor complications but no significant difference in major complications compared to standard-risk patients.
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