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The American Journal of Psychiatry, VOL. 128, No. 7

Articles | January 01, 1972

Early Electroconvulsive Treatment of a Patient Who Had Artificial Aortic and Mitral Valves

JOHN B. HARDMAN; ROBERT M. MORSE

Am J Psychiatry 1972;128:895-897.

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Resident, Department of Psychiatry, Mayo Graduate School of Medicine of the University of Minnesota, Rochester, Minn.

Instructor, Department of Psychiatry, Mayo Graduate School of Medicine of the University of Minnesota, Rochester, Minn. and Consultant, Department of Psychiatry, Mayo Clinic

1972, American Psychiatric Association

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Abstract

A 45-year-old man developed a psychotic depression 11 days after the surgical replacement of both aortic and mitral valves with prostheses. He was effectively treated with ECT beginning 27 days after the surgery. This case further confirms the feasibility of the early use of ECT in patients who have had heart surgery. Starting treatment when psychosis occurs alleviates many management problems. Close monitoring of the patient's cardiac status is important.

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