Effects of antihypertensive medication on left ventricular function during electroconvulsive therapy: study with transthoracic echocardiography

Kikuchi, Yuji; Saito, Shigeru; Takahashi, Kenichiro; Goto, Fumio

doi:10.1016/j.jclinane.2006.02.008

Cited by 8 publications

(2 citation statements)

References 18 publications

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“…The acute hyperdynamic response may be harmful to patients with ischaemic heart disease, hypertension and cerebrovascular disease (1, 4). Many drugs such as α‐2 adrenergic agonists and β blockers have been used in an attempt to attenuate this response (5–7).…”

mentioning

confidence: 99%

Dexmedetomidine blunts acute hyperdynamic responses to electroconvulsive therapy without altering seizure duration

Begeç

Toprak

Demirbilek

et al. 2007

Acta Anaesthesiol Scand

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mentioning

confidence: 99%

Dexmedetomidine blunts acute hyperdynamic responses to electroconvulsive therapy without altering seizure duration

Begeç

Toprak

Demirbilek

et al. 2007

Acta Anaesthesiol Scand

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“…In order to prevent ECT-induced changes in systemic hemodynamics, investigators have used various antihypertensive agents [1,2], including alprenolol, nitroglycerin, nicardipine, esmolol, and labetalol [1]. We previously demonstrated that beta-blockers could effectively prevent an increase in heart rate when compared with other drugs [6,7].…”

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confidence: 99%

Effects of landiolol on left ventricular function during electroconvulsive therapy: a transthoracic echocardiographic study

et al. 2010

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The purpose of this study was to examine the effects of landiolol on left ventricular (LV) systolic function, using transthoracic echocardiography, during electroconvulsive therapy (ECT). Fourteen patients undergoing ECT were studied. Bilateral ECT was performed after administration of thiopentone (2 mg/kg), succinylcholine (1 mg/kg), and initiation of assisted mask ventilation with 100% oxygen. Patients received a bolus injection of landiolol (0.125 mg/kg) or saline immediately after anesthetic induction and prior to electrical shock. LV systolic function was examined by transthoracic echocardiography prior to anesthetic induction, throughout the ECT procedure, and for 10 min after the seizure. Electrical shock resulted in a significant decrease in fractional area change (FAC) when compared with the awake condition in the control group [FAC when awake: 48 +/- 3%; 1 min after ECT: 38 +/- 4%*; 2 min after ECT: 36 +/- 4%*; 3 min after ECT: 40 +/- 3%*; mean +/- standard deviation, *p < 0.05 compared with awake]. Landiolol infusion stabilized systemic hemodynamics and LV systolic function. The study demonstrated that landiolol is a suitable agent to minimize hemodynamic changes and transthoracic echocardiographic variability after ECT.

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Électroconvulsivothérapie en association avec des traitements pharmacologiques psychotropes et non psychotropes : revue de la littérature et recommandations pratiques

Quilès

Dewitte

Thomas³

et al. 2020

L'Encéphale

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Effects of antihypertensive medication on left ventricular function during electroconvulsive therapy: study with transthoracic echocardiography

Cited by 8 publications

References 18 publications

Dexmedetomidine blunts acute hyperdynamic responses to electroconvulsive therapy without altering seizure duration

Dexmedetomidine blunts acute hyperdynamic responses to electroconvulsive therapy without altering seizure duration

Effects of landiolol on left ventricular function during electroconvulsive therapy: a transthoracic echocardiographic study

Électroconvulsivothérapie en association avec des traitements pharmacologiques psychotropes et non psychotropes : revue de la littérature et recommandations pratiques

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