Takotsubo cardiomyopathy and electroconvulsive treatments: A case study and review

Michael J. Serby; Melinda Lantz; Brent I. Chabus; Laura J. Bernay

doi:10.2190/PM.40.1.g

Takotsubo cardiomyopathy and electroconvulsive treatments: A case study and review

Michael J. Serby, Melinda Lantz, Brent I. Chabus, Laura J. Bernay

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15 Scopus citations

Abstract

A 90-year-old woman who had received more than 100 electroconvulsive treatments (ECT) over many years requested another course for depression. After the third ECT, an electrocardiogram showed new T-wave inversion (V2-V6) and ST elevation (V2). Catheterization revealed severe left ventricular dysfunction but no coronary obstruction, leading to a diagnosis of Takotsubo cardiomyopathy (stress-related). The patient's recovery was uneventful. Recent literature cites three other cases post-ECT. It appears that elderly women are at greatest risk, repeated stress is generally required, and recovery is achieved quickly. Elevated levels of catecholamines and of vasopressin may be implicated.

Original language	English
Pages (from-to)	93-96
Number of pages	4
Journal	International Journal of Psychiatry in Medicine
Volume	40
Issue number	1
DOIs	https://doi.org/10.2190/PM.40.1.g
State	Published - 1 Jan 2010
Externally published	Yes

Keywords

electroconvulsive therapy
geriatrics
side effects

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Takotsubo cardiomyopathy and electroconvulsive treatments: A case study and review

Abstract

Keywords

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