Bradycardia and hypotension in a patient with severe aortic stenosis receiving electroconvulsive therapy dose titration for treatment of depression

Bruce Sutor, Paul S. Mueller, Keith G. Rasmussen

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Aortic stenosis (AS) is a risk factor for increased morbidity and mortality in patients undergoing procedures requiring general anesthesia. The absolute risk to patients with AS receiving electroconvulsive therapy (ECT) is unknown, but given the physiologic changes occurring in AS, it is reasonable to postulate that such patients are at increased risk for untoward events. In this article, we present the case of a 75-year-old woman with severe AS who developed hypotension and bradycardia during ECT dose titration. We discuss practical considerations and risk reduction strategies when using ECT in patients with severe AS.

Original languageEnglish (US)
Pages (from-to)281-282
Number of pages2
JournalJournal of ECT
Volume24
Issue number4
DOIs
StatePublished - Dec 1 2008

Keywords

  • Aortic stenosis
  • Electroconvulsive therapy
  • Side-effects

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

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