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Abstract Title:

Electroconvulsive therapy-induced Wolff-Parkinson-White syndrome: a case report.

Abstract Source:

Gen Hosp Psychiatry. 2013 ;35(5):575.e7-8. Epub 2013 Mar 19. PMID: 23517819

Abstract Author(s):

Shingo Enomoto, Aihide Yoshino, Bonpei Takase, Tatsuro Kuwahara, Yasutaka Tatsuzawa, Soichiro Nomura

Article Affiliation:

Shingo Enomoto

Abstract:

OBJECTIVE: Wolff-Parkinson-White (WPW) syndrome is characterized by premature ventricular excitation due to the presence of an abnormal accessory pathway. Electrocardiography (ECG) of patients with WPW syndrome portrays a short PR interval and a wide QRS interval with a delta wave.

METHODS: Herein, we report the case of a patient with schizophrenia who developed a wide QRS interval with a delta wave immediately following electroconvulsive therapy (ECT).

RESULTS: Initially, the delta wave disappeared within 2 days after ECT. However, the duration of the delta wave increased exponentially to 4 months when ECT was repeated.

CONCLUSION: Although the patient's cardiocirculatory dynamics remained normal, we continued to monitor her ECG until the delta wave disappeared because WPW syndrome can lead to serious arrhythmia.

Study Type : Human: Case Report

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