Kovvuri Sritha Reddy, Tekkalaki Bheemsain, Patil N M, Chate Sameeran S, Patil Sandeep
Department of Psychiatry, J. N. Medical College, Belagavi, Karnataka, India.
Indian J Psychol Med. 2018 Mar-Apr;40(2):183-185. doi: 10.4103/IJPSYM.IJPSYM_168_17.
Electroconvulsive therapy (ECT) is a safe and effective treatment for many psychiatric illnesses. Even in cardiac patients, it is a low-risk procedure as compared to chronic use of the medications with possible side effects. Although rare, cardiovascular events during ECT remain a principal cause of morbidity and mortality. Therefore, administration of ECT in cardiac patients remained questionable. There is no data regarding the safety of ECT administration in patients with repaired ventricular septal defect (VSD), and to the best of our knowledge, this is the first case report of safe administration of ECT in patient with VSD. In this case report, we describe a patient with bipolar affective disorder, with repaired VSD, who was safely and successfully treated with ECT. It is essential that appropriate cardiac management be provided before, during, and after ECT by a multidisciplinary team of psychiatrists, cardiologists, and anesthesiologists. This case report suggests that ECT can be safely given to patients with repaired VSD, wherever there is an absolute indication for ECT.
电休克疗法（ECT）是治疗多种精神疾病的一种安全有效的方法。即使对于心脏病患者，与长期使用可能有副作用的药物相比，它也是一种低风险的治疗手段。尽管ECT期间发生心血管事件的情况罕见，但仍是发病和死亡的主要原因。因此，在心脏病患者中实施ECT仍存在疑问。目前尚无关于在室间隔缺损（VSD）修补术后患者中进行ECT治疗安全性的数据，据我们所知，这是首例关于VSD患者安全接受ECT治疗的病例报告。在本病例报告中，我们描述了一名患有双相情感障碍且VSD已修补的患者，其接受ECT治疗安全且成功。至关重要的是，在ECT治疗前、治疗期间和治疗后，由精神科医生、心脏病专家和麻醉医生组成的多学科团队要提供适当的心脏管理。本病例报告表明，只要有ECT的绝对适应症，VSD修补术后的患者也可安全接受ECT治疗。
