摘要:

Electroconvulsive therapy (ECT) is an important therapeutic modality in geriatric patients because its safety, high efficacy and rapid onset of action are suited to the special needs of this population. It appears that ECT can be effective in the acute treatment of depression, mania, paranoid disorders and various psychiatric syndromes occurring in the context of brain disease. Certain cardiovascular and neurological disorders or use of drugs increase the risk of ECT in geriatric patients. Clinical strategies for evaluating and reducing the ECT risk in such cases are presented and directions for future clinical research are discussed.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Because the incidence of major depression and cardiovascular disease both increase with age, many electroconvulsive therapy (ECT) patients present with significant cardiovascular risk factors. Hypertension and cardiac events have been the leading cause of death in reports of ECT-related mortality (Barker and Baker, 1959; Malik, 1972). The purpose of this review is to examine the specific pharmacologie interventions that may be indicated, either to manage existing disease or to attenuate the cardiovascular responses to the treatment itself.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Antidepressant treatment of the depressed geriatric patient can be complicated by concomitant medical illness. We report the successful administration of electroconvulsive therapy (ECT) in three depressed geriatric patients who received the oral anticoagulant warfarin (Coumadin) for cardiovascular disease. The physiologic changes associated with modified ECT and risk factors for intracerebral hemorrhage in patients receiving anticoagulants are discussed.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Extreme rise of blood pressure may increase the risk associated with electroconvulsive therapy (ECT) in patients with cardiovascular disease, cerebrovascular disease, and aortic and intracranial aneurysms. A case is presented in which sublingual nifedipene was used in the treatment of a high-risk patient with severe rise of blood pressure. The therapeutic alternatives of managing severe ECT-related blood pressure increases are presented.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

We describe a patient with pseudohypoparathyroidism who was successfully treated with electroconvulsive therapy for a depressive episode, without psychiatric or medical complications.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID