MYOCARDIAL STUNNING AFTER ELECTROCONVULSIVE-THERAPY

被引：30

作者：

ZHU, WX ^{[1
]}

OLSON, DE ^{[1
]}

KARON, BL ^{[1
]}

TAJIK, AJ ^{[1
]}

机构：

[1] MAYO CLIN & MAYO FDN, DEPT PSYCHIAT, 200 1ST ST SW, ROCHESTER, MN 55905 USA

来源：

ANNALS OF INTERNAL MEDICINE | 1992年 / 117卷 / 11期

关键词：

ELECTROCONVULSIVE THERAPY; ADRENERGIC BETA-RECEPTOR BLOCKADERS; MYOCARDIAL CONTRACTION; LABETALOL; SYMPATHETIC NERVOUS SYSTEM;

D O I：

10.7326/0003-4819-117-11-914

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Myocardial stunning, a prolonged but reversible myocardial contractile dysfunction, has not been reported as a complication of electroconvulsive therapy (ECT). An elderly woman without a history of heart disease was admitted for treatment of depression. After the initial sessions of ECT, transient myocardial dysfunction repeatedly occurred. with reversible electrocardiographic and echocardiographic changes. Preventive therapy with labetalol attenuated the hemodynamic changes during subsequent sessions of ECT, and no immediate or delayed electrocardiographic or echocardiographic abnormalities were observed. Myocardial stunning after ECT is possibly mediated by sympathetic surge and may be prevented by alpha- and beta-adrenergic blockade.

引用

页码：914 / 915

页数：2

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