This case report examines the safety and timing of resuming electroconvulsive therapy (ECT) shortly after permanent pacemaker implantation in an elderly patient with psychotic depression, along with a focused review of peri-procedural considerations.
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In elderly patients with psychotic depression and newly implanted permanent pacemakers, ECT may be cautiously resumed in the short term — but clinicians should review peri-procedural cardiac and anesthetic protocols carefully before proceeding.
