Acute Embolic Stroke in a Patient with Atrial Fibrillation After Electroconvulsive Therapy

Overview

Journal J Cardiol Cases

Specialty Cardiology & Vascular Diseases

Date 2018 Dec 8

PMID 30524584

Citations 2

Authors

Hideaki Suzuki

Takehisa Takano

Miya Tominaga

Kazumasa Suzuki

Yutaka Kagaya

Affiliations

Soon will be listed here.

Abstract

Although patients with atrial fibrillation (AF) have an increased risk of embolic stroke, some clinicians hesitate to provide anticoagulation therapy for these patients during electroconvulsive therapy (ECT), which is widely applied for the treatment of intractable depression, bipolar disorder, and catatonic schizophrenia, because of potential intracerebral hemorrhage. We report on a 77-year-old female depressive patient with AF treated with aspirin but not on anticoagulation therapy because of poor compliance who developed embolic stroke 1 day after the last ECT. The CHADS score of this patient was 2 and included the age and hypertension. The present case suggests that anticoagulation therapy should be considered for patients with obvious risks of embolic stroke when they are subjected to ECT.

Citing Articles

Atrial fibrillation, electroconvulsive therapy, stroke risk, and anticoagulation.

Kapadia M, Jagadish P, Hutchinson M, Lee H Egypt Heart J. 2023; 75(1):94.

PMID: 38010438 PMC: 10682349. DOI: 10.1186/s43044-023-00409-7.

New Onset Paroxysmal Atrial Fibrillation After Electroconvulsive Therapy.

Hower M, Yang C Cureus. 2021; 12(11):e11717.

PMID: 33391948 PMC: 7772109. DOI: 10.7759/cureus.11717.

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