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The American Journal of Psychiatry, VOL. 110, No. 10

Article | April 01, 1954

CASE REPORT COMBINED INSULIN COMA AND ELECTROCONVULSIVE THERAPY FOLLOWING CARDIAC SURGERY

RALPH B. LITTLE; MANUEL M. PEARSON

Am J Psychiatry 1954;110:786-787.

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Instructor, Department of Psychiatry, University of Pennsylvania School of Medicine; Assistant in Neurology, Outpatient Department, Presbyterian Hospital, Philadelphia, Pennsylvania.

Assistant Professor of Psychiatry, University of Pennsylvania School of Medicine; Visiting Physician, Psychiatric Department, Philadelphia General Hospital; Psychiatrist, Institute of the Pennsylvania Hospital, Philadelphia.

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Abstract

This paper presents a patient—the first, we believe—who, after cardiac surgery, successfully endured both insulin coma and electroconvulsive therapies. We feel that with the rapid increase in cardiac surgery and the resultant new way of living, other psychotic reactions may develop which will require shock therapies.

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