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Arrhythmias Associated with Electroconvulsive Therapy in Hypertrophic Cardiomyopathy
Author(s) -
ADABAG A. SELCUK,
KIM HELEN G.,
ALOUL BASEL AL
Publication year - 2008
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2007.00979.x
Subject(s) - medicine , electroconvulsive therapy , hypertrophic cardiomyopathy , cardiology , ambulatory , cardiomyopathy , holter monitor , heart failure , electrocardiography , electroconvulsive shock
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.