| Takotsubo cardiomyopathy and electroconvulsive treatments: a case study and review. | |
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MedLine Citation:
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PMID: 20565047 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 90-year-old woman who had received more than 100 electroconvulsive treatments (ECT) over many years requested another course for depression. After the third ECT, an electrocardiogram showed new T-wave inversion (V2-V6) and ST elevation (V2). Catheterization revealed severe left ventricular dysfunction but no coronary obstruction, leading to a diagnosis of Takotsubo cardiomyopathy (stress-related). The patient's recovery was uneventful. Recent literature cites three other cases post-ECT. It appears that elderly women are at greatest risk, repeated stress is generally required, and recovery is achieved quickly. Elevated levels of catecholamines and of vasopressin may be implicated. |
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Authors:
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Michael J Serby; Melinda Lantz; Brent I Chabus; Laura J Bernay |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of psychiatry in medicine Volume: 40 ISSN: 0091-2174 ISO Abbreviation: Int J Psychiatry Med Publication Date: 2010 |
Date Detail:
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Created Date: 2010-06-22 Completed Date: 2010-07-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0365646 Medline TA: Int J Psychiatry Med Country: United States |
Other Details:
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Languages: eng Pagination: 93-6 Citation Subset: IM |
Affiliation:
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Beth Israel Medical Center, Department of Psychiatry, Albert Einstein College of Medicine, New York, NY 10003, USA. mserby@chpnet.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Depressive Disorder, Major / therapy* Electroconvulsive Therapy / adverse effects* Female Humans Recurrence Takotsubo Cardiomyopathy / etiology* |
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