ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

In order to examine the significance of blood pressure elevation during electroconvulsive therapy (ECT) for posttreatment cognitive impairment, routine treatments were compared with treatments where the blood pressure elevation was attenuated by administration of trimethaphan (Arfonad). As a reliable, valid, and sensitive measure of cognitive impairment, the forgetting score in four memory tests was used. Both retrograde and anterograde amnesic effects were examined. In spite of a substantial attenuation of the blood pressure response, there was no decrease of the amnesic effects. It is concluded that low-pressure narcosis is not successful in alleviating memory disturbance after ECT. There is no support to the concept that the blood pressure elevation is relevant to the memory disturbance. Since there was a tendency toward decreased seizure duration, low pressure narcosis may be inappropriate because it counteracts a physiological compensatory mechanism to meet the increased metabolic demands during the seizure.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Eight patients with persistent psychosis and positive symptoms, who had not improved with at least two courses of neuroleptic medications, were treated with electroconvulsive therapy (ECT) combined with an antipsychotic medication. Seven of the eight patients improved; the improvement was sustained in five patients after 6 and 12 months. ECT and neuroleptic drugs appear to be synergistic in antipsychotic activity. This enhancement may result from greater brain levels of neuroleptic drugs secondary to increased permeability of the blood-brain barrier accompanying seizures. Our experience is consistent with other recent clinical reports, and encourages trials of ECT combined with neuroleptic medications in therapy-resistant psychotic patients, including those classified as having schizophrenic disorders.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

A controlled study on the cardiovascular safety of monoamine oxidase inhibitors (MAOI) during general anesthesia for electroconvulsive therapy (ECT) was completed. No serious changes in blood pressure, heart rate, or ectopic beats were noted in either the MAOI or control groups during ECT. Based on pharmacological data, a review of the literature, and these preliminary results, the recommended 2-week discontinuation of MAOI before ECT appears unwarranted. Clinical guidelines for the concomitant use of MAOI and general anesthesia are offered.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

A survey was undertaken in 1986 to provide reliable information on the present status of electroconvulsive therapy (ECT) in the Federal Republic of Germany (FRG). ECT was used in 26% of the state mental hospitals, 40% of the psychiatric departments of general hospitals, and in 78% of university hospitals. The number of treatment courses applied was low, with about 500 patients receiving ECT in 1985. The indications for ECT and patterns of administration appeared similar to those of other countries, although unilateral electrode placement was prescribed infrequently. The low use of ECT in the FRG (0.08/10,000 population) cannot be related to the attitudes of senior psychiatrists toward ECT, because the attitudes appear to be rather favorable. The majority maintained that indications for ECT exist and that every psychiatric hospital with comprehensive treatment facilities should offer this treatment. ECT usage seems to be partly determined by nonmedical factors, in particular, the recent attacks against psychiatry and ECT in the media. To correct the consequences of such attacks, the merits of ECT should become better known.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Comparison of two independently conducted electroconvulsive therapy (ECT) surveys in Great Britain and Ireland shows remarkable uniformity of opinion and practice in the selection of patients for treatment, treatment technique, and clinical outcome 14 and 28 days after completion of a course of treatment. Short-term outcome reported by a self-selected group of treating psychiatrists in each survey was remarkably similar. Between 75% and 80% of patients were satisfied with the results of ECT as were their treating psychiatrists. The data provide information hitherto unavailable from controlled efficacy studies and indicate the short-term course and outcome of patients treated with ECT in contemporary clinical practice.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

A 60-year-old normotensive woman, who 3 years previously had had a cerebral haemorrhage, developed a severe depressive illness that failed to respond to tricyclic antidepressants and lithium, alone and combined. Electroconvulsive therapy (ECT) was administered using intravenous beta-blockade with practolol and atenolol prior to induction of anaesthesia to prevent the surge in blood pressure normally seen following the convulsion. The blood pressure did not rise and her depression responded to a series of nine ECT treatments. There were no associated complications.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Electroconvulsive therapy (ECT) is an effective and safe treatment for depression. Anticoagulation therapy is used to reduce morbidity or mortality from stroke or recurrent pulmonary embolus in various cardiac and vascular conditions. We report in detail the successful ECT treatment of a patient suffering from major depression with psychotic features who continued warfarin (Coumadin) anticoagulant therapy.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID