What are the contraindications to ECT?
Major risks of ECT involve the central nervous
and car-diovascular systems. Central nervous system contraindica-tions include
space-occupying lesions, aneurysm, increased intracranial pressure, and recent
cerebrovascular accident.
Cardiovascular system contraindications include
recent myocardial infarction and aortic aneurysm. Scattered reports of
successful ECT treatments in such patients do exist; therefore, each should be
considered on an individual basis as to whether to proceed with ECT or not.
ECT current could interfere with permanent
pacemaker activity. There is large variation in models of cardiac pace-makers
and a consultation with a cardiologist is necessary to ascertain the best
management for each patient.
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