■Takotsubo心肌病(TCM)是一种类似于急性冠状动脉综合征的左心室功能障碍。其预后一般良好;然而,一部分患者可能出现严重并发症.中医是改良电惊厥疗法(ECT)的罕见副作用;已在22名女性和2名男性患者中报道。已报告8例中医后重新开始ECT(均为女性),最短的持续时间为3周。
■我们报告一例61岁男性,有重度抑郁症病史,无心脏病史,也无ECT治疗史。抗抑郁药无效,并指示ECT。在第三次ECT会议之后,患者主诉胸痛和呼吸急促。心电图显示ST段抬高,导管血管造影用于中医诊断。患者患有轻度心力衰竭,但保持稳定。认识到ECT是有效的,病人要求重新启动。我们证实心功能已经恢复正常,应用富马酸比索洛尔贴剂作为预防措施,并在中医发病后14天重新开始ECT。进行了五次ECT,中医无复发,抑郁症明显改善。
■我们描述了一名患有重度抑郁症的男性患者,在ECT诱导的中医治疗后2周再次开始ECT。因此,中医应被认为是ECT的副作用,即使是男人。此外,取决于病人的病情是否稳定,ECT可以在中医患者中成功进行。
UNASSIGNED: Takotsubo cardiomyopathy (TCM) is a left ventricular dysfunction resembling acute coronary syndrome. Its prognosis is generally favorable; however, a subset of patients may present with severe complications. TCM is a rare side-effect of modified electroconvulsive therapy (ECT); it has been reported in 22 female and two male patients. Eight cases of ECT reinitiation after TCM have been reported (all females), with the shortest duration being 3 weeks.
UNASSIGNED: We report the case of a 61-year-old man with a history of major depressive disorder and no history of heart disease or previous ECT treatment. Antidepressants had been ineffective, and ECT was indicated. After the third ECT session, the patient complained of chest pain and shortness of breath. Electrocardiography revealed ST elevation, and catheter angiography was used to diagnose TCM. The patient had mild heart failure but remained stable. Recognizing that ECT was effective, the patient asked for it to be reinitiated. We confirmed that the cardiac function had been normalized, applied a bisoprolol fumarate patch as a preventive measure, and reinitiated ECT 14 days after the onset of TCM. ECT was performed five times, with no recurrence of TCM and a marked improvement in depression.
UNASSIGNED: We describe a male patient with major depressive disorder who underwent reinitiation of ECT 2 weeks after ECT-induced TCM. Therefore, TCM should be recognized as a side-effect of ECT, even in men. Moreover, depending on whether the patient\'s condition is stable, ECT can be successfully performed in patients with TCM.