ECT in patients with major depressive disorder and low cardiac output

Liat Stern*, Shmuel Hirschmann, Leon Grunhaus

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Electroconvulsive therapy (ECT) in patients with impaired cardiac output may be associated with significant cardiovascular morbidity and mortality because of its hemodynamic effects. Many clinicians are reluctant to treat these patients with ECT because of the high risk associated with the treatment. In this report, we present a clinically appropriate protocol for ECT treatment of patients with impaired cardiac output and major depressive disorder. Three patients, ages 59-78 years, with resistant major depression and impaired cardiac output (ejection fraction 20-25%), were successfully treated with ECT according to this protocol.

Original languageEnglish
Pages (from-to)68-73
Number of pages6
JournalConvulsive Therapy
Volume13
Issue number2
StatePublished - 1997
Externally publishedYes

Keywords

  • Cardiac output
  • Electroconvulsive therapy
  • Major depressive disorder

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