New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy

Electroconvulsive therapy (ECT) is a safe treatment for various psychiatric disorders. During an ECT treatment, an electrical stimulus produces a transient sympathetic response leading to changes in the cardiac rate and rhythm. Rarely, ECT treatment may precipitate atrial fibrillation (AF). In this...

Descripción completa

Detalles Bibliográficos
Autores principales: Hower, Michael R, Yang, Chong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Psychiatry
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7772109/
https://www.ncbi.nlm.nih.gov/pubmed/33391948
http://dx.doi.org/10.7759/cureus.11717
_version_ 1783629809058840576
author Hower, Michael R
Yang, Chong
author_facet Hower, Michael R
Yang, Chong
author_sort Hower, Michael R
collection PubMed
description Electroconvulsive therapy (ECT) is a safe treatment for various psychiatric disorders. During an ECT treatment, an electrical stimulus produces a transient sympathetic response leading to changes in the cardiac rate and rhythm. Rarely, ECT treatment may precipitate atrial fibrillation (AF). In this case report, we present a 70-year-old man with schizoaffective disorder who developed paroxysmal AF after his 38(th) ECT treatment. We review his risk factors for AF and propose a possible mechanism of its development. We also discuss potential treatment options to safely resume ECT treatments.
format Online
Article
Text
id pubmed-7772109
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-77721092020-12-31 New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy Hower, Michael R Yang, Chong Cureus Psychiatry Electroconvulsive therapy (ECT) is a safe treatment for various psychiatric disorders. During an ECT treatment, an electrical stimulus produces a transient sympathetic response leading to changes in the cardiac rate and rhythm. Rarely, ECT treatment may precipitate atrial fibrillation (AF). In this case report, we present a 70-year-old man with schizoaffective disorder who developed paroxysmal AF after his 38(th) ECT treatment. We review his risk factors for AF and propose a possible mechanism of its development. We also discuss potential treatment options to safely resume ECT treatments. Cureus 2020-11-26 /pmc/articles/PMC7772109/ /pubmed/33391948 http://dx.doi.org/10.7759/cureus.11717 Text en Copyright © 2020, Hower et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Psychiatry
Hower, Michael R
Yang, Chong
New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy
title New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy
title_full New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy
title_fullStr New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy
title_full_unstemmed New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy
title_short New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy
title_sort new onset paroxysmal atrial fibrillation after electroconvulsive therapy
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7772109/
https://www.ncbi.nlm.nih.gov/pubmed/33391948
http://dx.doi.org/10.7759/cureus.11717
work_keys_str_mv AT howermichaelr newonsetparoxysmalatrialfibrillationafterelectroconvulsivetherapy
AT yangchong newonsetparoxysmalatrialfibrillationafterelectroconvulsivetherapy

Ejemplares similares