BIOMAT Database Logo BIOMAT Database Logo

[Asystole during electroconvulsive therapy]. 2005

Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Department of Anesthesia Tokyo Metropolitan Toshima Hospital, Tokyo 173-0015.

BACKGROUND Asystole during electroconvulsive therapy (ECT) has been reported as an uncommon but fatal complication. But cardiac movement during electrical stimulation has not been well known. METHODS The cardiac movements during electrical stimulation of fifty psychiatric patients treated by ECT under general anesthesia were observed utilizing thoracic echocardiography. Observations of 117 times were performed. Rate pressure products (RPP) immediately before stimulation and during 10 minutes after stimulation were calculated. Asystole was defined as absence of heartbeat for over 2 seconds. RESULTS Asystoles were observed 57 times (48.7%). The heartbeat recovered immediately after stimulation in all asystole cases. RPP increased just after stimulation in all cases. Asystole cases had significantly greater variation of RPP than cases without aystole. (P = 0.0082). CONCLUSIONS Electrical stimulation by ECT activates parasympathetic nervous system and convulsion by the stimulation activates sympathetic nervous system. As asystole case had good reactive automatic nervous system, asystole might have been provoked by the stimulation with a greater increase in RPP after the stimulation.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010275 Parasympathetic Nervous System The craniosacral division of the autonomic nervous system. The cell bodies of the parasympathetic preganglionic fibers are in brain stem nuclei and in the sacral spinal cord. They synapse in cranial autonomic ganglia or in terminal ganglia near target organs. The parasympathetic nervous system generally acts to conserve resources and restore homeostasis, often with effects reciprocal to the sympathetic nervous system. Nervous System, Parasympathetic,Nervous Systems, Parasympathetic,Parasympathetic Nervous Systems,System, Parasympathetic Nervous,Systems, Parasympathetic Nervous
D004452 Echocardiography Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic. Echocardiography, Contrast,Echocardiography, Cross-Sectional,Echocardiography, M-Mode,Echocardiography, Transthoracic,Echocardiography, Two-Dimensional,Transthoracic Echocardiography,2-D Echocardiography,2D Echocardiography,Contrast Echocardiography,Cross-Sectional Echocardiography,Echocardiography, 2-D,Echocardiography, 2D,M-Mode Echocardiography,Two-Dimensional Echocardiography,2 D Echocardiography,Cross Sectional Echocardiography,Echocardiography, 2 D,Echocardiography, Cross Sectional,Echocardiography, M Mode,Echocardiography, Two Dimensional,M Mode Echocardiography,Two Dimensional Echocardiography
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D004565 Electroconvulsive Therapy Electrically induced CONVULSIONS primarily used in the treatment of severe AFFECTIVE DISORDERS and SCHIZOPHRENIA. Convulsive Therapy, Electric,ECT (Psychotherapy),Electroshock Therapy,Shock Therapy, Electric,Convulsive Therapies, Electric,Electric Convulsive Therapies,Electric Convulsive Therapy,Electric Shock Therapies,Electric Shock Therapy,Electroconvulsive Therapies,Electroshock Therapies,Shock Therapies, Electric,Therapies, Electric Convulsive,Therapies, Electric Shock,Therapies, Electroconvulsive,Therapies, Electroshock,Therapy, Electric Convulsive,Therapy, Electric Shock,Therapy, Electroconvulsive,Therapy, Electroshock
D005260 Female Females
D006323 Heart Arrest Cessation of heart beat or MYOCARDIAL CONTRACTION. If it is treated within a few minutes, heart arrest can be reversed in most cases to normal cardiac rhythm and effective circulation. Asystole,Cardiac Arrest,Cardiopulmonary Arrest,Arrest, Cardiac,Arrest, Cardiopulmonary,Arrest, Heart,Asystoles
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000768 Anesthesia, General Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery. Anesthesias, General,General Anesthesia,General Anesthesias

Related Publications

Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Asystole during electroconvulsive therapy.
December 2014, The journal of ECT,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Vagally Mediated Postictal Asystole During Electroconvulsive Therapy.
March 2018, The journal of ECT,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Asystole during electroconvulsive therapy: a case report.
June 2001, The Australian and New Zealand journal of psychiatry,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Asystole with electroconvulsive therapy.
March 1994, Journal of internal medicine,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Venlafaxin-associated post-ictal asystole during electroconvulsive therapy.
May 2012, Pharmacopsychiatry,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Labetalol does not lengthen asystole during electroconvulsive therapy.
December 1998, The journal of ECT,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Absence of asystole during bifrontal stimulation in electroconvulsive therapy.
June 2010, The journal of ECT,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Asystole in ultrabrief pulse electroconvulsive therapy.
September 2012, The journal of ECT,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Electroconvulsive therapy- and succinylcholine-related asystole.
June 2009, The journal of ECT,
Koukichi Hase, and Hitoshi Yoshioka, and Takako Nakamura, and Toshirou Kamei, and Kunihiro Isse, and Mitsuru Nakamura
Asystole during successive electroconvulsive therapy sessions: a report of two cases.
May 2004, Journal of clinical anesthesia,
Copied contents to your clipboard!