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Electroconvulsive therapy in 77-year-old patient with pacemaker: a case report

The treatment of a 77-year-old patient suffering from severe psychotic depression with a cardiac pacemaker is described. Because of treatment-resistant depression, electroconvulsive therapy (ECT) was introduced. In the course of ECT, there was a great improvement in his mental state without any card...

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Detalles Bibliográficos
Autores principales: Mędrala, Tomasz, Pycińska, Anna, Pyciński, Bartłomiej, Merk, Wojciech, Kucia, Krzysztof
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909799/
https://www.ncbi.nlm.nih.gov/pubmed/29713175
http://dx.doi.org/10.2147/NDT.S162125
Descripción
Sumario:The treatment of a 77-year-old patient suffering from severe psychotic depression with a cardiac pacemaker is described. Because of treatment-resistant depression, electroconvulsive therapy (ECT) was introduced. In the course of ECT, there was a great improvement in his mental state without any cardiac complications. This case may be evidence for the safety and effectiveness of ECT in the elderly, even with cardiac comorbidities. Some recommendations for ECT in patients with pacemakers are discussed.