Severe bradycardia at the termination of seizure during electroconvulsive therapy.
Autonomic nerve system
Electroconvulsive therapy
Severe bradycardia
Journal
JA clinical reports
ISSN: 2363-9024
Titre abrégé: JA Clin Rep
Pays: Germany
ID NLM: 101682121
Informations de publication
Date de publication:
16 Oct 2020
16 Oct 2020
Historique:
received:
17
09
2020
accepted:
05
10
2020
revised:
30
09
2020
entrez:
17
10
2020
pubmed:
18
10
2020
medline:
18
10
2020
Statut:
epublish
Résumé
Few cases of asystole or severe bradycardia occurring after the termination of seizure in the third phase with the dominance of parasympathetic nervous system activity during electroconvulsive therapy (ECT) have been reported. We describe a case of severe bradycardia occurring at the termination of seizure. The patient had been diagnosed with bipolar disorder more than 9 years earlier. No adverse hemodynamic events had been observed in over 100 sessions of ECT performed during a 9-year period. ECT was usually induced by propofol and suxamethonium. On this ECT, the heart rate gradually decreased before seizure termination, and severe bradycardia (5-6 beats/min) was identified lasting 15-20 s. Atropine administration immediately before electrical stimulus prevented any further bradycardia during the next session of ECT. This case report indicates that attention should be paid to adverse cardiac events related to autonomic nerve activity even before such events occur during ECT.
Sections du résumé
BACKGROUND
BACKGROUND
Few cases of asystole or severe bradycardia occurring after the termination of seizure in the third phase with the dominance of parasympathetic nervous system activity during electroconvulsive therapy (ECT) have been reported. We describe a case of severe bradycardia occurring at the termination of seizure.
CASE PRESENTATION
METHODS
The patient had been diagnosed with bipolar disorder more than 9 years earlier. No adverse hemodynamic events had been observed in over 100 sessions of ECT performed during a 9-year period. ECT was usually induced by propofol and suxamethonium. On this ECT, the heart rate gradually decreased before seizure termination, and severe bradycardia (5-6 beats/min) was identified lasting 15-20 s. Atropine administration immediately before electrical stimulus prevented any further bradycardia during the next session of ECT.
CONCLUSIONS
CONCLUSIONS
This case report indicates that attention should be paid to adverse cardiac events related to autonomic nerve activity even before such events occur during ECT.
Identifiants
pubmed: 33067732
doi: 10.1186/s40981-020-00389-6
pii: 10.1186/s40981-020-00389-6
pmc: PMC7567775
doi:
Types de publication
Journal Article
Langues
eng
Pagination
83Subventions
Organisme : Ministry of Science and Technology
ID : No. 19K09345
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