Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL 62711, USA.
Cardiol Res Pract. 2011;2011:746373. doi: 10.4061/2011/746373. Epub 2011 Sep 15.
Electroconvulsive therapy (ECT) is increasingly used as a treatment for psychiatric disorders. Cardiac effects are the principal cause of medical complications in these patients. We report a case of atrioventricular (AV) dissociation that occurred after ECT that was treated with pacemaker implantation. The mechanisms contributing to the onset of AV dissociation in this patient, and the management and rationale for device therapy, in light of the most recent guidelines, are reviewed.
电抽搐治疗（ECT）越来越多地被用作治疗精神疾病的手段。心脏效应是这些患者发生医疗并发症的主要原因。我们报告了一例 ECT 后发生的房室（AV）分离的病例，该病例采用起搏器植入进行治疗。根据最新指南，回顾了导致该患者发生 AV 分离的机制以及器械治疗的管理和原理。
