Case Report: PDF OnlyAtrial Fibrillation, Anticoagulation, and Electroconvulsive TherapyPetrides, Georgios M.D.*; Fink, Max M.D.Author Information Department of Psychiatry and Behavioral Sciences, State University of New York, Stony Brook, New York; and *Department of Psychiatry, Northport Veterans Affairs Medical Center, Northport, New York, U.S.A Received June 22, 1995; accepted October 12, 1995. Address correspondence and reprint requests to Dr. G. Petrides, Department of Psychiatry & Behavioral Sciences, Health Sciences Center, T-10, SUNY at Stony Brook, Long Island, NY 11794-8101, U.S.A. Convulsive Therapy: June 1996 - Volume 12 - Issue 2 - p 91-98 Buy Abstract Summary: We describe our experience with six patients with atrial fibrillation (AF) during electroconvulsive therapy (ECT). In four, we observed episodic or persistent conversion of AF to normal sinus rhythm (NSR). Four patients, three with cardioversion and one without, received anticoagulation. In published case reports, ECT was successfully performed in three patients with AF without anticoagulation and in three patients with AF who received anticoagulation. In addition, 18 patients received ECT while taking concomitant anticoagulation therapy for reasons other than AF. Despite the potential risk of embolization with AF, we consider ECT may be safely administered to patients with AF. Because of the high incidence of conversion of AF to NSR, anticoagulation therapy with either warfarin or heparin is recommended. © Lippincott-Raven Publishers.