ECT in Heart Transplant Patients: New Literature Review in JECT

Out on PubMed, from authors in New Hampshire and Georgia, is this review:


Electroconvulsive Therapy in Heart Transplant Patients: To Avoid or Embrace?

Ketcham E, Glass OM, Hermida AP.J ECT. 2023 Aug 3. doi: 10.1097/YCT.0000000000000954. Online ahead of print.PMID: 37561916

The article is here.
And from the text:
Here is s very nice review of the 6 cases in the literature of cardiac transplant patients who have received ECT.
Because of vagal denervation, the risk of bradycardia is lessened; the theory of sympathetic supersensitivity is interesting.
In any case (or at least all treated so far), the answer to the title question is a resounding, "embrace."
Kudos to these authors for this helpful contribution to the ECT literature.



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