Document Detail

Cardiac arrhythmias induced by ECT in elderly psychiatric patients: experience with 48-hour Holter monitoring.
MedLine Citation:
PMID:  12621273     Owner:  NLM     Status:  MEDLINE    
Serious adverse events associated with electroconvulsive therapy (ECT) are uncommon and consist mostly of cardiovascular complications, mainly arrhythmias. The risk of complications is increased in elderly and physically ill patients. In the current study, a 24-hour pre-ECT and 24-hour post-ECT Holter recording was performed on 26 elderly patients during their first ECT treatment. ECT caused a significant increase in bigeminy/trigeminy and supraventricular tachycardia, but did not increase other arrhythmias. Pre-ECT arrhythmias correlated with post-ECT arrhythmias. All patients in the current study completed the ECT course. Thus, the clinical significance of arrhythmias remains uncertain. The present findings support the usual practice of continuous electrocardiogram monitoring during ECT and recovery.
Martti J Huuhka; Lauri Seinelä; Pekka Reinikainen; Esa V J Leinonen
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The journal of ECT     Volume:  19     ISSN:  1095-0680     ISO Abbreviation:  J ECT     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-03-06     Completed Date:  2003-06-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9808943     Medline TA:  J ECT     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-5     Citation Subset:  IM    
Department of Psychogeriatrics, Tampere University Hospital, Finland.
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MeSH Terms
Age Factors
Aged, 80 and over
Arrhythmias, Cardiac / etiology*,  pathology
Depressive Disorder / therapy
Electrocardiography, Ambulatory*
Electroconvulsive Therapy / adverse effects*
Middle Aged
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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