Safety of electroconvulsive therapy in psychiatric patients shortly after the occurrence of pulmonary embolism

Kazumasa Suzuki, Kousei Takamatsu, Takehisa Takano, Youichirou Tanabe, Ko Fujiyama, Hiroo Matsuoka

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

We encountered 2 patients with a psychiatric disorder (depression in one and catatonia in one) accompanied by motor inhibition that was complicated by pulmonary embolism (PE). In both cases, the psychiatric disorder was safely resolved with electroconvulsive therapy (ECT) during anticoagulant therapy. The 2 cases direct our attention to at least 3 important points regarding safe administration of ECT shortly after the occurrence of PE, that is, careful evaluation of cardiac function and residual deep vein thrombosis before the start of an ECT course, adjustment of anticoagulants, and prevention of recurrent deep vein thrombosis and PE by methods in addition to anticoagulant therapy (fluid infusion, use of support hose, and timely ECT).

Original languageEnglish
Pages (from-to)286-288
Number of pages3
JournalJournal of ECT
Volume24
Issue number4
DOIs
Publication statusPublished - 2008 Dec

Keywords

  • Anticoagulant therapy
  • Catatonia
  • Deep vein thrombosis
  • Depression
  • Electroconvulsive therapy
  • Pulmonary embolism

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

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