Infarto agudo de miocardio tras terapia electroconvulsiva

López-Gómez, David; Sánchez-Corral, Miguel Ángel; Cobo, J; Jara, F; Esplugas, Enric

doi:10.1016/s0300-8932(99)74966-3

Cited by 16 publications

(5 citation statements)

References 4 publications

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“…[ 8 ] When an electrical current is applied to the brain, the resultant EEG spike and wave activity is accompanied by a generalized motor seizure and an acute cardiovascular response, which results in marked increase in cerebral blood flow and intracranial pressure. [ 9 ] The hemodynamic response to ECT can produce myocardial ischemia and even infarction,[ 10 ] as well as transient neurologic ischemic deficits, intracerebral hemorrhages, and cortical blindness. [ 11 12 ] Due to trauma caused to the patient physically and psychologically with unmodified direct ECT in the past, it has now been modified with anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of sodium thiopentone, propofol, and etomidate as an ideal intravenous anesthetic agent for modified electroconvulsive therapy

et al. 2017

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Introduction:Electroconvulsive therapy (ECT) is a well-established psychiatric treatment in which seizures are electrically induced in patients for therapeutic effects. ECT can produce severe disturbances in the cardiovascular system and a marked increase in cerebral blood flow and intracranial pressure. These cardiovascular changes may be altered using various anesthetic drugs.Aim and Objectives:This study was undertaken to compare the effects of intravenous (IV) sodium thiopentone, propofol, and etomidate, used as IV anesthetic agents in modified ECT as regards, induction time and quality of anesthesia, alteration of hemodynamics, seizure duration, and recovery time.Materials and Methods:A total of 90 patients in the age group of 16–60 years of either sex, who had to undergo ECT therapy were divided randomly into three equal groups. Group A received propofol 1% - 1.5 mg/Kg, Group B received etomidate - 0.2 mg/Kg, and Group C received thiopentone 2.5% - 5 mg/Kg. All the patients were monitored for changes in heart rate, systolic blood pressure, diastolic blood pressure, and oxygen saturation at basal, after induction and 1 min, 2 min, 3 min, 5 min, 10 min, 20 min, and 30 min following ECT. Quality of anesthesia, seizure duration, and recovery times were also recorded.Conclusion:We found that propofol had the advantage of smooth induction, stable hemodynamic parameters and rapid recovery as compared to etomidate and thiopentone. Thiopentone had the advantage over propofol of having longer seizure duration at the cost of a relatively prolonged recovery period. Etomidate had a definite advantage of longer seizure duration.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of sodium thiopentone, propofol, and etomidate as an ideal intravenous anesthetic agent for modified electroconvulsive therapy

et al. 2017

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“…Using ECT with scalp electrodes results in a spike-andwave pattern of the electroencephalogram (EEG) in the patient, which is accompanied by generalized seizure and cardiovascular stimulation, followed by increased cerebral blood flow (CBF) and intracranial pressure (ICP) (6). Hemodynamic responses to ECT can even cause myocardial ischemia (7). The seizures of EEG that last for 25 to 50 seconds can result in the optimal treatment (8).…”

Section: Discussionmentioning

confidence: 99%

Electroconvulsive Therapy for a Patient with Suicide by Drinking Bleach During Treatment of COVID-19: A Case Report

et al. 2020

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: Electroconvulsive therapy (ECT) was first experienced in 1938 and had been conducting without anesthesia for 30 years. In this study, the most common indication for ECT was mood disorder (major depressive disorder and bipolar I disorder). We introduce a patient with a history of COVID-19 and suicide who required emergency ECT. Electroconvulsive therapy can be life-saving in patients with suicide history or catatonic schizophrenia. Health workers are at the front line of the COVID-19 outbreak control and must follow health instructions. Aerosol-producing procedures such as suction in anesthesia for ECT may facilitate the transmission of infectious diseases such as COVID-19. When performing aerosol-producing procedures during the pandemic of novel coronavirus, every patient should be considered suspicious.

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“…This may lead to complications such as transient arrhythmias, myocardial ischemia, cardiovascular, and cerebrovascular accidents. [ 2 ] Dexmedetomidine has shown to be promising in various procedures to blunt this catecholamine-induced stress response. [ 7 8 9 10 11 12 ] Hence, we decided to use dexmedetomidine as premedication in our study.…”

Section: Discussionmentioning

confidence: 99%

“…The cardiovascular response is associated with sudden surge of catecholamines and occasional cardiac arrhythmias, myocardial ischemia/infarction. [ 2 ] The acute hyperdynamic response elicited poses great risk in patients with cardiovascular and cerebrovascular diseases.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of dexmedetomidine as premedication prior to electroconvulsive therapy, a Randomized controlled cross over study

Sannakki

Dalvi

Sannakki

et al. 2017

Indian J Psychiatry

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Background:This study evaluated the effect of dexmedetomidine on the acute hyperdynamic response, duration of seizure activity, and recovery profile in patients undergoing electroconvulsive therapy (ECT).Aims:To study the effectiveness of dexmedetomidine 1 μg/kg intravenous in ECT in terms of attenuation of the hyperdynamic response, seizures duration, and sedation.Design:This was a prospective, randomized, double-blinded, crossover study.Materials and Methods:Thirty patients were included in the study and were treated as both cases and controls. The study drug was given 10 min before induction of anesthesia. Vital parameters and recovery scores were recorded.Results:In Group D, heart rates at 3rd and 5th min after electric stimulus (T6 and T7, respectively) were 94.5 ± 20.1 and 90.4 ± 12.8/min as compared to 111.9 ± 15.5 and 109.0 ± 13.7 in Group N, respectively (P < 0.0001). The systolic blood pressure in Group D and Group N were 116.53 ± 26.09 and 138.03 ± 19.32 at T6, respectively (P < 0.001). Diastolic blood pressure and mean arterial pressure were significantly reduced after induction and electric stimulus in Group D. The seizures duration was similar in both groups. Modified Aldrete's Score and Richmond Agitation-Sedation Score were prolonged in Group D.Conclusion:Dexmedetomidine, before the induction of anesthesia, prevents the acute hyperdynamic responses to ECT without altering the seizures duration. However, patients may have delayed recovery and delayed discharge.

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Infarto agudo de miocardio tras terapia electroconvulsiva

Cited by 16 publications

References 4 publications

Effectiveness of sodium thiopentone, propofol, and etomidate as an ideal intravenous anesthetic agent for modified electroconvulsive therapy

Effectiveness of sodium thiopentone, propofol, and etomidate as an ideal intravenous anesthetic agent for modified electroconvulsive therapy

Electroconvulsive Therapy for a Patient with Suicide by Drinking Bleach During Treatment of COVID-19: A Case Report

Effectiveness of dexmedetomidine as premedication prior to electroconvulsive therapy, a Randomized controlled cross over study

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