Oral Anticoagulant and ECT: New Case Report inJECT

Out on PubMed, in JECT, from authors in India, is this LTE:

Safety of Electroconvulsive Therapy in a Patient With Bipolar Mania Receiving Oral Anticoagulants: A Case Report.

Joseph JT, Jammigumpula A, Kurariya A, Praharaj SK.J ECT. 2024 Jul 18. doi: 10.1097/YCT.0000000000001058. Online ahead of print.PMID: 39024188 


 The LTE is here.

And here:






Here is another report of the safety of ECT with the "newer" class of oral anticoagulants. Evidence and clinical caution are always good. 
But the theoretical risks of anticoagulation with ECT may be exaggerated, based on the false conflation of ECT with "surgery" where tissue is cut and bleeds. Outside of the infinitesimally small risk of the rupture of an unknown aneurysm due to increased blood pressure during the procedure, where is the risk? 
Ironically the two "mild lip bites," possibly due to improper bite block placement, were the only times when anticoagulation may have posed any risk.

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