Cardiac ImplantableElectronic Devices: Case Report and Literature review

 Out on PubMed, in JECT, from authors in India, is this case report and review:

Electroconvulsive Therapy in Patients With Cardiac Implantable Electronic Devices: A Case Report and Systematic Review of Published Cases.

Purohith AN, Vaidyanathan S, Udupa ST, Munoli RN, Agarwal S, Prabhu MA, Praharaj SK.J ECT. 2022 Apr 26. doi: 10.1097/YCT.0000000000000851. Online ahead of print.PMID: 35482902
The abstract is copied below:
The aims of the study were to report the case of a 54-year-old man with recurrent depressive disorder with multiple medical comorbidities having a dual-chamber pacemaker, treated successfully with 11 sessions of electroconvulsive therapy, and to conduct a systematic review of published cases documenting the use of electroconvulsive therapy (ECT) in patients with cardiac implantable electronic devices (CIEDs) for treating major psychiatric disorders.

Methods: We searched electronic databases (MEDLINE, PubMed, Google Scholar, Embase, Cochrane Library, PsycINFO, and Crossref) and included studies reporting on the use of electroconvulsive therapy in patients with CIEDs.

Results: Thirty-five publications across 53 years (1967-2021) reported on 76 patients (including current report) who received a pooled total of 979 modified ECT sessions. The most common adverse events were premature ventricular contraction and hypertension. There have been no reports of serious adverse effects that necessitated the cessation of ECT.

Conclusions: Electroconvulsive therapy is a safe and efficacious treatment for major psychiatric disorders, and the presence of CIEDs should not delay or deter the use of ECT in these patients.

The report is here.

And from the text:



This is a well presented case report that serves as an excuse for the literature review. The recommendations seem solid and thoughtful. 
The use of ECT in patients with these cardiac devices is by now so commonplace that it should be considered routine practice; that will be bad for the case report evidence base, but unusual cases, with particular teaching points, will certainly still be publishable.
Kudos to these authors for the work put into this excellent case report and review.

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