Key result
Electroconvulsive therapy was followed by an anterolateral ST-elevation myocardial infarction with complete occlusion of the proximal left anterior descending artery in a 49-year-old male.
Case Report (n=1)
Electroconvulsive therapy can rarely trigger acute myocardial infarction, highlighting the importance of recognizing hemodynamic changes and potential cardiac complications during the procedure.
Alerts clinicians to possible ECT-related cardiac events; leaves open need for pre-procedure risk assessment in larger studies.
Cardiac adverse events, while infrequent, are the primary complications to electroconvulsive therapy (ECT). Acute myocardial infarction is a rare complication of ECT. Here, we report a case of a 49-year-old male with no known cardiac history and with intermediate cardiac risk who developed an Anterolateral ST elevated myocardial infarction after a course of ECT. His risk factors for coronary artery disease included hyperlipidemia and tobacco dependence. Coronary angiography demonstrated a complete occlusion of the proximal left anterior descending artery. The hemodynamic changes during ECT will also be discussed, which contribute to the associated cardiac complications.
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Buechler et al. (2018) conducted a case report in Anterolateral ST elevated myocardial infarction (n=1). Electroconvulsive therapy was evaluated on Anterolateral ST elevated myocardial infarction. Electroconvulsive therapy was followed by an anterolateral ST-elevation myocardial infarction with complete occlusion of the proximal left anterior descending artery in a 49-year-old male.