Diffuse T-wave inversions associated with electroconvulsive therapy - 26/08/11
Doi : 10.1016/j.amjcard.2004.03.017
Kevin E. O'Brien, MD a, ⁎ 
, Nicholas Pastis, MD b, Jamie B. Conti, MD c
, Nicholas Pastis, MD b, Jamie B. Conti, MD c a Division of General Internal Medicine, University of Florida Health Science Center, Tampa, Florida, USA
b Department of Medicine, University of Florida Health Science Center, Tampa, Florida, USA
c Department of Clinical Electrophysiology, Division of Cardiology, University of Florida Health Science Center, Tampa, Florida, USA
*Dr. O'Brien's address is: College of Medicine, University of South Florida, 12901 Bruce B. Downs Boulevard, MDC 80, Tampa, Florida 33612-4799, USA.
Abstract |
Electroconvulsive therapy (ECT) can lead to ST depression and arrhythmias in patients with coronary artery disease, most likely secondary to increased myocardial oxygen demand. This report describes a case of ECT-associated, global T-wave inversions in a patient with chronic atrial fibrillation treated with digoxin. Laboratory evaluation and echocardiography were normal. These T-wave changes may result from increased sympathetic activity associated with ECT. Prospective studies suggest that this finding may be seen in up to 4% of patients undergoing ECT.
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Vol 93 - N° 12
P. 1573-1574 - juin 2004 Retour au numéro
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