Electroconvuls ive therapy in a 96-year-oldpatient with severe aortic stenosis: a case report and re
Eletroconvulsoterapia - IPAN (Instituto de Pesquisas Avançadas em Neuroestimulação)
Depressão, Antidepressivo, EMTr
J ECT. 2008 Mar;24(1):96- 8.
Electroconvuls ive therapy in a 96-year-oldpatient with severe aortic stenosis: a case report and review of the literature.O'Reardon JP, Cristancho MA, Cristancho P, Fontecha JF, Weiss D.ECT Service, Department of Psychiatry, University of Pennsylvania School ofMedicine, Philadelphia, PA, USA. [email protected] med.upenn. edu
We report the safe administration of a course of electroconvulsive therapy (ECT) ina 96-year-old woman with severe aortic stenosis. The patient experienced a relapseof her severe depression when ECT had been withheld because of increased concernsregarding medical risk given her age and degree of aortic stenosis. Reassessment ofthe case confirmed severe stenosis with a valve area of 0.5 cm2 and a peak pressuregradient across the valve of 110 mm Hg. The ventricular ejection was normal at 70%however, and after a careful weighing of the risk of ECT treatment versus the riskof withholding ECT, it was decided to proceed with ECT in this case.In the event.
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