Arrhythmias Associated with Electroconvulsive Therapy in Hypertrophic Cardiomyopathy
- 24 January 2008
- journal article
- Published by Wiley in Pacing and Clinical Electrophysiology
- Vol. 31 (2) , 253-255
Abstract
Patients with hypertrophic cardiomyopathy (HCM) are inherently prone to arrhythmias. Electroconvulsive therapy (ECT), a well‐known treatment in psychiatry, leads to a catecholamine surge and may cause arrhythmias in patients with severe coronary and valvular heart diseases and heart failure. Whether ECT is safe in HCM is unknown. We systematically investigated the effects of ECT on the arrhythmia profile and left ventricular outflow obstruction of a HCM patient by serial ambulatory Holter electrocardiograms and echocardiograms before and after ECT. Our observations provide insight into the evaluation and management of a HCM patient undergoing ECT.Keywords
This publication has 9 references indexed in Scilit:
- Implications of Arrhythmias and Prevention of Sudden Death in Hypertrophic CardiomyopathyAnnals of Noninvasive Electrocardiology, 2007
- Spectrum and prognostic significance of arrhythmias on ambulatory Holter electrocardiogram in hypertrophic cardiomyopathyJACC, 2005
- Recommendations for Physical Activity and Recreational Sports Participation for Young Patients With Genetic Cardiovascular DiseasesCirculation, 2004
- Sudden Death in Young AthletesNew England Journal of Medicine, 2003
- Cardiac Arrhythmias Induced by ECT in Elderly Psychiatric Patients: Experience with 48-Hour Holter MonitoringThe Journal of ECT, 2003
- Hypertrophic CardiomyopathyJAMA, 2002
- Use of electroconvulsive therapy in the Medicare population between 1987 and 1992Psychiatric Services, 1997
- The Management of Hypertrophic CardiomyopathyNew England Journal of Medicine, 1997
- Hypertrophic CardiomyopathyCirculation, 1995