Electrocardiographic and Blood Pressure Alterations During Electroconvulsive Therapy in Young Adults
AUTOR(ES)
Rumi, Demetrio Ortega, Solimene, Maria Cecília, Takada, Júlio Yoshio, Grupi, César José, Giorgi, Dante Marcelo, Rigonatti, Sérgio Paulo, Luz, Protásio Lemos da, Ramires, José Antonio Franchini
FONTE
Arquivos Brasileiros de Cardiologia
DATA DE PUBLICAÇÃO
2002-08
RESUMO
OBJECTIVE - To study cardiovascular alterations in young patients with no apparent organic disease who underwent electroconvulsive therapy. METHODS - The study comprised 47 healthy patients (22 males and 25 females) with a mean age of 30.3 years, who underwent electroconvulsive therapy. Ambulatory blood pressure monitoring and continuous electrocardiographic monitoring (Holter monitor) were performed during 24 hours. Blood pressure and heart rate were assessed 4 hours prior to electric shock administration, during electric shock administration, and 3 hours after electric shock administration. Arrhythmias and alterations in the ST segment in 24 hours were recorded. RESULTS - On electroconvulsive therapy, a significant increase in blood pressure and heart rate was observed and the measurements returned to basal values after 25 minutes. Three females had tracings with depression of the ST segment suggesting myocardial ischemia prior to and after electroconvulsive therapy. Coronary angiography was normal. No severe cardiac arrhythmias were diagnosed. CONCLUSION - 1) Electroconvulsive therapy is a safe therapeutic modality in psychiatry; 2) it causes a significant increase in blood pressure and heart rate; 3) it may be associated with myocardial ischemia in the absence of coronary obstructive disease; 4) electroconvulsive therapy was not associated with the occurrence of severe cardiac arrhythmias.
Documentos Relacionados
- Electroconvulsive therapy use during pregnancy.
- Impaired microvascular dilatation and capillary rarefaction in young adults with a predisposition to high blood pressure.
- ELECTROCARDIOGRAPHIC CHANGES DURING PRESSURE BREATHING
- Blood pressure and cardiac autonomic modulation at rest, during exercise and recovery time in the young overweight
- Electroconvulsive Therapy