Key result
Resumption of electroconvulsive therapy 19 days after a non-ST segment elevation myocardial infarction was completed without further cardiac problems and resulted in full remission of depression.
Case Report (n=1)
This case report suggests that electroconvulsive therapy can be safely resumed shortly after an NSTEMI with appropriate cardiac management.
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May support early ECT resumption after NSTEMI in select cases with monitoring; leaves open need for prospective trials.
We present the case of a 69-year-old woman with psychotic depression who suffered a non-ST segment elevation myocardial infarction at her first electroconvulsive therapy (ECT). Her course of ECT was resumed 19 days later, and she was able to complete it without further problems. Her depression remitted fully. We report the details of her cardiac management during subsequent treatment sessions and review the literature on cardiac adverse events with ECT.
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Aloysi et al. (2010) conducted a case report in Psychotic depression and non-ST segment elevation myocardial infarction (n=1). Resumption of electroconvulsive therapy was evaluated on Completion of ECT without further problems and remission of depression. Resumption of electroconvulsive therapy 19 days after a non-ST segment elevation myocardial infarction was completed without further cardiac problems and resulted in full remission of depression.
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