Brief Reports
1 December 1992

Myocardial Stunning after Electroconvulsive Therapy

Publication: Annals of Internal Medicine
Volume 117, Number 11
Myocardial stunning (1, 2), a prolonged but reversible myocardial contractile dysfunction, has not been reported after electroconvulsive therapy (ECT). We describe a patient with myocardial stunning after ECT and the apparent prevention of this complication by combined alpha- and beta-blockade.

Case Report

A 77-year-old woman was admitted for major depression. She had no history of cardiac disease. Physical examination, routine laboratory tests, and a chest radiograph were negative. An electrocardiogram was normal (Figure 1A). After antidepressant therapy failed, ECT was begun. The patient was premedicated with glycopyrrolate. Anesthesia was induced with thiopental, 100 mg, and succinylcholine, 40 mg. Baseline blood...

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References

1.
Braunwald E and Kloner R. The stunned myocardium: prolonged, postischemic ventricular dysfunction. Circulation. 1982;66:1146-9.
2.
Bolli R. Mechanism of myocardial "stunning." Circulation. 1990;82: 723-38.
3.
Green R and Woods A. Effects of modified ECT on the electrocardiogram. Br Med J. 1955;1:1503-5.
4.
Gould LCopalaswamy CChandy F, and Kim B. Electroconvulsive therapy-induced ECG changes simulating a myocardial infarction. Arch Intern Med. 1983;143:1786-7.
5.
Dec GStern T, and Welch C. The effects of electroconvulsive therapy on serial electrocardiograms and serum cardiac enzyme values: a prospective study of depressed hospitalized inpatients. JAMA. 1985;253:2525-9.
6.
Fine DOh JEdwards WSandok BMeloy T, and Marsh R. Electrocardiographic, echocardiographic, and pathological correlation in patients with subarachnoid hemorrhage [Abstract]. J Am Coll Cardiol. 1990;15:215A.
7.
Selvin B. Electroconvulsive therapy—1987. Anesthesiology. 1987; 67:367-85.
8.
Jones R and Knight P. Cardiovascular and hormonal responses to electroconvulsive therapy. Anaesthesia. 1981;36:795-9.
9.
Decina PMalitz SSackeim HHolzer J, and Yudofsky S. Cardiac arrest during ECT modified by β-adrenergic blockade. Am J Psychiatry. 1984;141:298-300.

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cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 117Number 111 December 1992
Pages: 914 - 915

History

Published in issue: 1 December 1992
Published online: 1 December 2008

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From the Mayo Clinic, Rochester, Minnesota. For current author addresses, see end of text.

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Wei-Xi Zhu, David E. Olson, Barry L. Karon, et al. Myocardial Stunning after Electroconvulsive Therapy. Ann Intern Med.1992;117:914-915. doi:10.7326/0003-4819-117-11-914

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