Acute myocardial infarction following electroconvulsive therapy in a Schizophrenic patient

Publication date: Available online 25 May 2016 Source:The Egyptian Heart Journal Author(s): Anish Hirachan, Arun Maskey Deaths due to acute coronary insufficiency have been reported during or following electroconvulsive therapy (ECT). Various mechanisms related to ECT related deaths also include cerebral, and respiratory complications; however, cardiovascular complication remains the most common. Here, we describe a 55year old male with a longstanding psychiatric illness with multiple antipsychotics under regular follow-up and required repeated ECT therapy to have the disease symptoms under remission. This time he developed acute onset chest pain immediately post ECT shock and diagnosed as Acute anterior wall myocardial infarction and was taken up for successful primary coronary revascularization to left anterior descending (LAD) artery 2h after the chest pain onset. He was later discharged in a stable state and advised for continuous psychiatric follow-up.
Source: The Egyptian Heart Journal - Category: Cardiology Source Type: research