T-Wave Changes Associated with Electroconvulsive Therapy

Khoury, Georges F.; Benedetti, C.

doi:10.1213/00000539-198911000-00024

Cited by 8 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Electroconvulsive therapy has been advocated as the antidepressant therapy of choice in cardiac patients because of the cardiotoxic effects of psychotropic drugs (16) , however electrocardiographic changes have been reported with ECT (17) . The baseline ECGs of all the patients in two groups were within normal limits; the changes during ECT are shown in Table 13.Most common effect was sinus tachycardia which is seen in 21 (42%) in group T and 16 (32%) in group P. Minor ST-T changes were seen in 8(16%) patient in group T and 7(14%) in group P. 3 (6%) patients in group T and 2 (4%) patients in group P developed ventricular ectopic beats.…”

Section: Changes In Ecgmentioning

confidence: 99%

“…Thus 11 (22%) patients in group T and 9 (18%) patients in group P developed arrhythmias. Whether the T-waves abnormalities represent cardiac ischemia is controversial (17) , but their incidence is higher in patients with preexisting cardiac disease. Dysrhythmias seen during ECT are result from the predominance of either parasympathetic or sympathetic activity, modified by other factors such as amount of current delivered, anaesthetic technique and concurrent drug therapy (18) .…”

Section: Changes In Ecgmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the haemodynamic effects and seizure activity during modified ECT with thiopentone and propofol used as inducing agents.

Premendran¹

2012

iosrphr

View full text Add to dashboard Cite

Abstract:--Electroconvulsive therapy is also known as Electroshock or Shock therapy or Electroplex.Seizure activity produced by ECT is considered as the therapeutic aspect of this form of treatment, but is accompanied by untoward physiologic consequences, mainly cardiovascular and cerebral in nature. The hemodynamic effects can have a significant impact in patients with underlying cardiovascular disease.The effects of certain anesthetic agents may render seizure activity difficult to generate,and the unmodified physiologic consequences of treatment may be harmful. At the present time, a number of medications have been used during ECT including pretreatment sedation, anaesthetic agents, muscle relaxants, anticholinergics, and drugs to attenuate parasympathetic and sympathetic responses. This single blinded study was carried out on 100 adult patients equally divided into two groups of 50 each to compare the Hemodynamic effects and seizure activity of thiopentone sodium (GroupT) and propofol(Group P) when used as inducing agents in patients undergoing modified electroconvulsive therapy (MECT). Results showed propofol maintained significantly better haemodynamics compared to thiopentone and seizure time was significantly lower with propofol compared to thiopentone with equal theurapeutic effect and comparable complication rate of MECT. Recovery from anaesthesia post MECT was significantly quicker with propofol compared with thiopentone. Hence,we conclude that from anaesthesiologist's point of view propofol has advantage over thiopentone when used as an induction agent for modified ECT due to its favorable haemodynamics and early recovery characteristics.

show abstract

Section: Changes In Ecgmentioning

confidence: 99%

Section: Changes In Ecgmentioning

confidence: 99%

Comparison of the haemodynamic effects and seizure activity during modified ECT with thiopentone and propofol used as inducing agents.

Premendran¹

2012

iosrphr

View full text Add to dashboard Cite

show abstract

“…To the Editor: Topsis et al (1) report three cases of esophageal perforation as a complication of neonatal resuscitation. Pharyngeal lacerations, however, may also follow breech delivery using the Mauriceau-Smellie-Veit maneuver-insertion of the obstetrician's finger into the mouth of the baby to facilitate extraction.…”

mentioning

confidence: 99%

Transient Large Upright T-Waves During Electro convulsive Therapy

Boyd¹,

Youngberg²,

Smith³

1990

Anesthesia & Analgesia

View full text Add to dashboard Cite

One is left with the uneasy suspicion that this cardiac arrest was quite preventable. One is also left with considerable reservations about the validity of a policy that all injuries to the hand should be managed with regional anesthesia.Reference 1 Long WB, Rosenblum S, Grady IP Successful resuscitation of bupivacaine-induced cardiac arrest using cardiopulmonary bypass Anesth Analg 1989,69 403-6 Transient Large Upright T-Waves During Electroconvulsive Therapy

show abstract

“…ou outras drogas com propriedade similar fornecidos no momento da ECT podem contudo, persistir.Durante a convulsão, o ECG pode demonstrar ondas T em pico(KHOURY;BENEDETTI, 1989). Este é um fenômeno benigno devido à estimulação elétrica de centros do tronco cerebral importantes para a polarização cardíaca.…”

unclassified

"Estimulação magnética transcraniana de repetição: comparação da eficácia com a eletroconvulsoterapia"

Rosa¹

View full text Add to dashboard Cite

por ter gentilmente me recebido em seu laboratório e me auxiliado dedicadamente. Ao Prof. Dr. Sérgio Paulo Rigonatti, pelo apoio, incentivo e amizade. Ao Prof. Dr. Saxby Pridmore, por sua amizade e por suas valiosas sugestões. Aos Professores Cássio Machado de Campos Bottino, Orestes Vicente Forlenza e Sérgio Tamai, pelas importantes sugestões no exame de qualificação. Aos colegas do Serviço de Tratamento Biológico do Hospital das Clínicas. Às colegas do Serviço de Neuropsicologia do IPq-HC-FMUSP que realizaram as avaliações cognitivas. Ao psicólogo Martin Myczkowski que aplicou as escalas de avaliação da depressão. À Srta. Bárbara Cristiane Bonetti, por sua ajuda inestimável na realização da pesquisa e na confecção da tese. Este estudo contou com uma bolsa de Doutorado Sandwich fornecida pelo Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), graças à qual foi realizado um estágio no Laboratório do Prof. Pascual-Leone no Beth Israel Deaconess Medical Center-Harvard Medical School-Boston, EUA. * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr) * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr) * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr) * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr)

show abstract

T-Wave Changes Associated with Electroconvulsive Therapy

Cited by 8 publications

References 0 publications

Comparison of the haemodynamic effects and seizure activity during modified ECT with thiopentone and propofol used as inducing agents.

Comparison of the haemodynamic effects and seizure activity during modified ECT with thiopentone and propofol used as inducing agents.

Transient Large Upright T-Waves During Electro convulsive Therapy

"Estimulação magnética transcraniana de repetição: comparação da eficácia com a eletroconvulsoterapia"

Contact Info

Product

Resources

About