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Grover S, Suchendra K, Mehra A, et al. Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output. Ind Psychiatry J. 2015;24(2):195-7doi: 10.4103/0972-6748.181725.
Grover, S., Suchendra, K., Mehra, A., Parkash, V., Saini, V., & Bagga, S. (2015). Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output. Industrial psychiatry journal, 24(2), 195-7. https://doi.org/10.4103/0972-6748.181725
Grover, Sandeep, et al. "Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output." Industrial psychiatry journal vol. 24,2 (2015): 195-7. doi: https://doi.org/10.4103/0972-6748.181725
Grover S, Suchendra K, Mehra A, Parkash V, Saini V, Bagga S. Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output. Ind Psychiatry J. 2015 Jul-Dec;24(2):195-7. doi: 10.4103/0972-6748.181725. PMID: 27212828; PMCID: PMC4866351.
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Ind Psychiatry J. 2015 Jul-Dec;24(2):195-7. doi: 10.4103/0972-6748.181725.

Use of electroconvulsive therapy in an elderly after 5 weeks of myocardial infraction with 30% cardiac output.

Industrial psychiatry journal

Sandeep Grover, K Suchendra, Aseem Mehra, Vijay Parkash, Vikas Saini, Shiv Bagga

Affiliations

  1. Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  2. Department of Anaesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  3. Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

PMID: 27212828 PMCID: PMC4866351 DOI: 10.4103/0972-6748.181725

Abstract

There is limited literature on the use of electroconvulsive therapy (ECT) in patients with recent myocardial infarction and in those with reduced cardiac output. In this report, we describe the safe use of ECT in a 70-year-male suffering from severe depressive episode with psychotic symptoms. He had a history of poor response to adequate pharmacotherapy and had suffered from myocardial infraction (MI), about 3 weeks prior to admission to the psychiatric unit. In view of severe depression associated with marked anxiety, agitation, psychotic symptoms, and poor food intake he was started on ECT after 5 weeks of MI when his cardiac output was only 30%. He received nine sessions of ECT without any cardiac complications and his depression remitted with ECT.

Keywords: Elderly; electroconvulsive therapy; low cardiac output; myocardial infraction

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