From the Departments of Psychiatry.
Cardiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
J ECT. 2023 Mar 1;39(1):46-52. doi: 10.1097/YCT.0000000000000851. Epub 2022 Apr 26.
The aims of the study were to report the case of a 54-year-old man with recurrent depressive disorder with multiple medical comorbidities having a dual-chamber pacemaker, treated successfully with 11 sessions of electroconvulsive therapy, and to conduct a systematic review of published cases documenting the use of electroconvulsive therapy (ECT) in patients with cardiac implantable electronic devices (CIEDs) for treating major psychiatric disorders.
We searched electronic databases (MEDLINE, PubMed, Google Scholar, Embase, Cochrane Library, PsycINFO, and Crossref) and included studies reporting on the use of electroconvulsive therapy in patients with CIEDs.
Thirty-five publications across 53 years (1967-2021) reported on 76 patients (including current report) who received a pooled total of 979 modified ECT sessions. The most common adverse events were premature ventricular contraction and hypertension. There have been no reports of serious adverse effects that necessitated the cessation of ECT.
Electroconvulsive therapy is a safe and efficacious treatment for major psychiatric disorders, and the presence of CIEDs should not delay or deter the use of ECT in these patients.
本研究旨在报告一例 54 岁男性患者，患有复发性伴有多种合并症的抑郁症，装有双腔起搏器，经 11 次电抽搐治疗成功治疗，同时对已发表的病例进行系统回顾，记录心脏植入式电子设备 (CIED) 患者使用电抽搐治疗 (ECT) 治疗主要精神疾病的情况。
我们检索了电子数据库 (MEDLINE、PubMed、Google Scholar、Embase、Cochrane 图书馆、PsycINFO 和 Crossref)，并纳入了报告 CIED 患者使用电抽搐治疗的研究。
53 年来 (1967-2021 年) 有 35 篇文献报道了 76 例患者 (包括本报告)，共接受了 979 次改良 ECT 治疗。最常见的不良事件是室性早搏和高血压。没有报告需要停止 ECT 的严重不良事件。
电抽搐治疗是治疗主要精神疾病的安全有效方法，CIED 的存在不应延迟或阻止这些患者使用 ECT。
