Hirachan Anish, Maskey Arun
Sahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.
Egypt Heart J. 2017 Mar;69(1):71-73. doi: 10.1016/j.ehj.2016.05.002. Epub 2016 May 25.
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 55 year 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 2 h after the chest pain onset. He was later discharged in a stable state and advised for continuous psychiatric follow-up.
据报道，在电休克治疗（ECT）期间或之后会发生急性冠状动脉供血不足导致的死亡。与ECT相关死亡有关的各种机制还包括脑部和呼吸系统并发症；然而，心血管并发症仍然是最常见的。在此，我们描述一名55岁男性，患有长期精神疾病，长期服用多种抗精神病药物并定期随访，需要反复进行ECT治疗以使疾病症状缓解。此次，他在ECT电击治疗后立即出现急性胸痛，被诊断为急性前壁心肌梗死，并在胸痛发作2小时后接受了成功的左前降支（LAD）动脉直接冠状动脉血运重建术。他后来病情稳定出院，并被建议持续接受精神科随访。
