Which of the following is treated as the closest to an ABSOLUTE contraindication for ECT?

• A Pacemaker in situ
• B First trimester pregnancy
• C Intracranial space-occupying lesion with raised intracranial pressure ✓
• D Myocardial infarction two years ago

Explanation

There is strictly no absolute contraindication to ECT, but a brain tumour or other lesion causing raised intracranial pressure comes closest because the seizure transiently raises cerebral blood volume further and risks herniation. Pregnancy is actually an indication in severe illness, pacemakers need cardiology review only, and a myocardial infarction older than three months is generally acceptable after cardiac clearance.

Reference: Kaplan and Sadock's Synopsis of Psychiatry, 11th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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