Acute embolic stroke in a patient with atrial fibrillation after electroconvulsive therapy

Hideaki Suzuki, Takehisa Takano, Miya Tominaga, Kazumasa Suzuki, Yutaka Kagaya

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Although patients with atrial fibrillation (AF) have an increased risk of embolic stroke, some clinicians hesitate to provide anticoagulation therapy for these patients during electroconvulsive therapy (ECT), which is widely applied for the treatment of intractable depression, bipolar disorder, and catatonic schizophrenia, because of potential intracerebral hemorrhage. We report on a 77-year-old female depressive patient with AF treated with aspirin but not on anticoagulation therapy because of poor compliance who developed embolic stroke 1 day after the last ECT. The CHADS2 score of this patient was 2 and included the age and hypertension. The present case suggests that anticoagulation therapy should be considered for patients with obvious risks of embolic stroke when they are subjected to ECT.

Original languageEnglish
Pages (from-to)e12-e14
JournalJournal of Cardiology Cases
Volume2
Issue number1
DOIs
Publication statusPublished - 2010 Aug

Keywords

  • Anticoagulation
  • Atrial fibrillation
  • Electroconvulsive therapy
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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