atrioventricular dissociation after electroconvulsive therapy房室分离后电休克疗法.pdfVIP

SAGE-Hindawi Access to Research Cardiology Research and Practice Volume 2011, Article ID 746373, 4 pages doi:10.4061/2011/746373 Case Report Atrioventricular Dissociation after Electroconvulsive Therapy Siegfried William Yu,1 Srikanth Vallurupalli,1 Jennifer Arnoldi,2 and Richard Holloway3 1 Department of Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL 62711, USA 2 School of Pharmacology, Southern Illinois University Edwardsville and St. John’s Hospital, Springfield, IL 62711, USA 3 Southern Illinois University School of Medicine and Prairie Cardiovascular Consultants, Springfield, IL, USA Correspondence should be addressed to Siegfried William Yu, syu2.siumed@ Received 2 March 2011; Revised 15 July 2011; Accepted 16 July 2011 Academic Editor: Gavin W. Lambert Copyright © 2011 Siegfried William Yu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Electroconvulsive therapy (ECT) is increasingly used as a treatment for psychiatric disorders. Cardiac effects are the principal cause of medical complications in these patients. We report a case of atrioventricular (AV) dissociation that occurred after ECT that was treated with pacemaker implantation. The mechanisms contributing to the onset of AV dissociation in this patient, and the management and rationale for device therapy, in light of the most recent guidelines, are reviewed. 1. Introduction were discontinued, and escitalopram and mirtazapine were added. Because her depression was resistant to medical ther