The journal of ECT · 2011
The safety of electroconvulsive therapy in patients with prolonged QTc intervals on the electrocardiogram.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Pullen Samuel J, Rasmussen Keith G, Angstman Elizabeth R, Rivera Fernando, Mueller Paul S
Аннотация
BACKGROUND: Prolonged QTc intervals have been associated with increased cardiac morbidity and mortality. We investigated whether pretreatment prolongation of the QTc interval was associated with increased cardiac-related events (CREs) in electroconvulsive therapy (ECT) treatment of psychiatric disorders.
METHODS: The charts of 1437 ECT patients were reviewed for the presence of baseline QTc prolongation. Broadly defined CREs during the course of treatment were abstracted from patient charts.
RESULTS: Presence of baseline QTc prolongation was not independent of increased risk of CREs during ECT.
IMPLICATIONS: Careful consideration should be given to patients who have QTc prolongation on an electrocardiogram and are undergoing ECT treatment, but this should not definitively exclude patients from receiving ECT treatment.
METHODS: The charts of 1437 ECT patients were reviewed for the presence of baseline QTc prolongation. Broadly defined CREs during the course of treatment were abstracted from patient charts.
RESULTS: Presence of baseline QTc prolongation was not independent of increased risk of CREs during ECT.
IMPLICATIONS: Careful consideration should be given to patients who have QTc prolongation on an electrocardiogram and are undergoing ECT treatment, but this should not definitively exclude patients from receiving ECT treatment.
Предметные рубрики MeSH
AdultAgedAgingAnesthesia, GeneralArrhythmias, CardiacBlood PressureCardiovascular DiseasesMajor Depressive DisorderElectrocardiographyElectroconvulsive TherapyFemaleHeart RateHumansLong QT SyndromeMaleNeuromuscular Depolarizing AgentsPsychotropic DrugsRisk AssessmentSuccinylcholineVentricular Premature Complexes