Takotsubo-Kardiomyopathie nach Elektrokrampftherapie

The Safety and Strategies for Reinitiating Electroconvulsive Therapy After ECT-Induced Takotsubo Cardiomyopathy

“…The anesthetic agents included etomidate (5 cases 19,22,23,28,29 ), propofol (5 cases 16,21,26,29,30 ), methohexital (4 cases 31,32,35,36,38 ), and thiopental or thiamylal (3 cases 18,20,39 ); 8 cases 17,24,25,27,33,34,37 missed the description. Sixteen cases used succinylcholine as a muscle relaxant, 16,[18][19][20][21][22][23]26,[28][29][30][31][32]35,36,38,39 and 8 missed the description. 17,24,25,27,33,34,37 Seventeen (70.8%) cases 16,…”

“…17,24,25,27,33,34,37 Seventeen (70.8%) cases 16,17,20,21,23,26,28,[30][31][32][33][34][35][36][37][38][39] developed TCM by the third session in the acute ECT course. Ten (41.7%) cases 16,17,20,21,27,28,31,33,38 presented with cardiogenic shock or abnormal vital signs related to cardiogenic shock, and 3 (12.5%) cases 23,34,39 denied subjective or objective symptoms. All evaluable cases recovered from TCM.…”

“…The synthesized characteristics of the 24 ECT-induced TCM cases are presented in Table 1. The 24 articles describing ECTinduced TCM included 13 case reports, [17][18][19][20]23,24,26,31,32,34,35,38,39 8 case reports with review, 21,22,25,29,30,33,36,37 and 3 letter-style case reports. 16,27,28 Most patients were female individuals (21/ 24 [87.5%]), and the mean (SD) age was 62.3 (15.0) years; 2 cases 18,20 were excluded from the analysis because age details were not provided.…”

“…16,27,28 Most patients were female individuals (21/ 24 [87.5%]), and the mean (SD) age was 62.3 (15.0) years; 2 cases 18,20 were excluded from the analysis because age details were not provided. The primary diseases included 16 cases of major depressive disorders, 18,[22][23][24][25][26][28][29][30][31][32][33][35][36][37][38][39] 5 cases of bipolar disorder, 16,17,19,33,34 and 3 cases of schizophrenia. 20,21,27 Eight (33.3%) cases developed ECT-induced TCM despite the use of β-blockers (including bisoprolol, 16,26 metoprolol, 19,25,32,35,36 propranolol, 21,38 and esmolol 25 ).…”

“…Sixteen cases used succinylcholine as a muscle relaxant, 16,[18][19][20][21][22][23]26,[28][29][30][31][32]35,36,38,39 and 8 missed the description. 17,24,25,27,33,34,37 Seventeen (70.8%) cases 16,17,20,21,23,26,28,[30][31][32][33][34][35][36][37][38][39] developed TCM by the third session in the acute ECT course. Ten (41.7%) cases 16,17,20,21,27,28,31,33,38 presented with cardiogenic shock or abnormal vital signs related to cardiogenic shock, and 3 (12.5%) cases…”