Journal of Ect最新文献_第2页

Atrial Fibrillation Following Electroconvulsive Therapy: A Systematic Review and Case Report. 电休克疗法后的心房颤动：系统回顾与病例报告

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-06-04 DOI: 10.1097/YCT.0000000000001029

Mariana Baroni, Dania Albaba, Alexandra Ngo, Robin K Livingston

{"title":"Atrial Fibrillation Following Electroconvulsive Therapy: A Systematic Review and Case Report.","authors":"Mariana Baroni, Dania Albaba, Alexandra Ngo, Robin K Livingston","doi":"10.1097/YCT.0000000000001029","DOIUrl":"10.1097/YCT.0000000000001029","url":null,"abstract":"Abstract: Electroconvulsive therapy (ECT) is considered the gold standard treatment for many psychiatric illnesses; however, it is not without risk. There have been no systematic reviews to date on new-onset atrial fibrillation following ECT. Thus, the aim of this study is to identify reported occurrences of new-onset atrial fibrillation following ECT and the ability to safely resume ECT thereafter.A case pertaining to the development of atrial fibrillation after ECT in a young healthy male is presented. In addition, a systematic review of the literature pertaining to atrial fibrillation after ECT was conducted through PubMed, PsycInfo, and EMBASE. Of the 233 articles screened, 15 articles were selected for in-depth review. Of the 15 articles, only 10 articles met inclusion criteria. These articles included 9 case reports and 1 retrospective review. The retrospective review included 1 patient that developed atrial fibrillation out of 13 patients receiving ECT at the site. The 10 patients included varied in age, risk factors, type of ECT conducted, and treatment of the atrial fibrillation. Of the 4 articles that discussed outcomes, all patients were able to return to ECT without further complications.There are many potential reasons ECT may induce atrial fibrillation, and there are additional treatment considerations for atrial fibrillation in patients receiving ECT. Notably, our results indicate that many have been able to continue ECT without further complications; however, more research is needed to identify the frequency of this adverse reaction.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"240-244"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safety of Electroconvulsive Therapy in a Patient With Bipolar Mania Receiving Oral Anticoagulants: A Case Report. 接受口服抗凝药的躁狂躁郁症患者接受电休克疗法的安全性：病例报告。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-18 DOI: 10.1097/YCT.0000000000001058

Jithin T Joseph, Ashok Jammigumpula, Astut Kurariya, Samir Kumar Praharaj

引用次数: 0

The Effect of Remimazolam on Seizure Profile, Hemodynamics, and Recovery in Patients With Electroconvulsive Therapy Comparison With Propofol and Etomidate: A Retrospective Study. 与丙泊酚和依托咪酯相比，雷马唑仑对电休克疗法患者癫痫发作情况、血液动力学和恢复的影响：一项回顾性研究。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-06-10 DOI: 10.1097/YCT.0000000000001025

Insun Park, Hyeong Geun Kim, Sang-Hwan Do, Jung Won Hwang, In-Young Yoon, Jung Kyung Hong, Jung-Hee Ryu

{"title":"The Effect of Remimazolam on Seizure Profile, Hemodynamics, and Recovery in Patients With Electroconvulsive Therapy Comparison With Propofol and Etomidate: A Retrospective Study.","authors":"Insun Park, Hyeong Geun Kim, Sang-Hwan Do, Jung Won Hwang, In-Young Yoon, Jung Kyung Hong, Jung-Hee Ryu","doi":"10.1097/YCT.0000000000001025","DOIUrl":"10.1097/YCT.0000000000001025","url":null,"abstract":"Objectives: To compare seizure-related, hemodynamic, and recovery outcomes when using remimazolam for ECT with those of other anesthetics, specifically propofol and etomidate.Methods: A total of 49 patients who underwent 405 ECT treatment sessions under general anesthesia were retrospectively analyzed. Remimazolam, propofol, and etomidate were used for 93, 138, and 174 ECT sessions, respectively. The primary outcome was durations of motor and electroencephalogram (EEG) seizure activity, whereas secondary outcomes included hemodynamics (ie, mean arterial pressure [MAP] and heart rate [HR] at various time points from induction to postanesthesia care unit [PACU] discharge), antihypertensive drugs administration after electrical stimulus, and recovery profiles (ie, length of PACU stay and incidence of postictal confusion).Results: Durations of motor and EEG seizures were shorter for remimazolam than etomidate (motor, P < 0.001; EEG, P = 0.003) but similar compared with propofol (motor, P = 0.191; EEG, P = 0.850). During seizure, remimazolam showed a comparable MAP and HR to etomidate (MAP: P = 0.806; HR: P = 0.116). The antihypertensive drug use was lowest for remimazolam (6.8%), followed by propofol (35.6%) and etomidate (65.6%), and the mean length of PACU stay was comparable for remimazolam (19.7 min), propofol (22.8 min), and etomidate (24.5 min). The occurrence of postictal confusion did not differ among the 3 agents ( P > 0.050).Conclusions: Remimazolam is a promising anesthetic option for ECT because of its comparable seizure profiles, stable hemodynamics, and comparable PACU stay when compared with propofol and etomidate without additional adverse events.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"262-267"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cerebral and Aortic Aneurysms in Electroconvulsive Therapy Patients: A Systematic Review and Results From 12 Years of Screening. 电休克疗法患者的脑动脉瘤和主动脉瘤：系统回顾和 12 年筛查结果。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-01-25 DOI: 10.1097/YCT.0000000000000997

Heiko Ullrich, Alexander Sartorius, Sebastian Karl

{"title":"Cerebral and Aortic Aneurysms in Electroconvulsive Therapy Patients: A Systematic Review and Results From 12 Years of Screening.","authors":"Heiko Ullrich, Alexander Sartorius, Sebastian Karl","doi":"10.1097/YCT.0000000000000997","DOIUrl":"10.1097/YCT.0000000000000997","url":null,"abstract":"Introduction: Theoretically, the procedural risk of electroconvulsive therapy (ECT) could be increased in the presence of undetected aneurysms due to the hemodynamic changes associated with ECT. However, empirical evidence is limited to few individual case reports and case series.Methods: We performed a systematic review of available evidence on ECT treatment in patients with intracranial aneurysms and untreated aortic aneurysms and we retrospectively analyzed data from 252 consecutive patients referred for ECT at the Department of Psychiatry, Psychotherapy and Psychosomatics of Siegen Hospital, Germany, who received magnetic resonance angiographies and abdominal sonographies as part of their routine pre-ECT workup.Results: Of 252 patients referred for ECT, 5 (2.0%) were found to have an intracerebral aneurysm and 1 (0.4%) was found to have an abdominal aortic aneurysm. These cases are reported in detail together with 2 additional cases of aortic aneurysms from the Central Institute of Mental Health, Mannheim, Germany. Electroconvulsive therapy was performed without complications in all 8 cases.Conclusions: Aneurysms might occur in ECT patients at a similar rate as in the general population. The number of ECTs performed annually in mostly unscreened patients suggests that there might be a significant number of patients with undetected aneurysms in whom ECT is performed without reported complications.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"254-261"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sylvia Plath and ECT Once Again, Now in the Theater. 西尔维娅-普拉斯与电痉挛疗法，再一次，现在在剧院。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1097/YCT.0000000000001040

Per Bergsholm

引用次数: 0

Electroconvulsive Therapy With Brain Cyst: A Simulation Study. 脑囊肿电休克疗法：模拟研究。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-18 DOI: 10.1097/YCT.0000000000001045

Azam Ahmad Bakir, Donel M Martin, Abdulrahman Alduraywish, Socrates Dokos, Colleen K Loo

{"title":"Electroconvulsive Therapy With Brain Cyst: A Simulation Study.","authors":"Azam Ahmad Bakir, Donel M Martin, Abdulrahman Alduraywish, Socrates Dokos, Colleen K Loo","doi":"10.1097/YCT.0000000000001045","DOIUrl":"10.1097/YCT.0000000000001045","url":null,"abstract":"Introduction: Electroconvulsive therapy (ECT) is effective in treating severe depression and other neuropsychiatric disorders, but how the presence of an anatomical anomaly affects the electrical pathways between the electrodes remains unclear. We investigate the difference in electric field (E-field) distribution during ECT in the brain of a patient with an arachnoid cyst relative to hypothetical condition where the cyst was not present.Methods: Magnetic resonance imaging scans of the head of a patient with a large left frontal cyst were segmented to construct a finite element model to study the E-field distribution during ECT. Five electrode configurations were investigated: right unilateral, left unilateral, bifrontal, and bitemporal and left anterior right temporal. The E-field distributions for all montages were compared with a hypothetical condition where brain tissue and electrical conductivity from the right frontal region was mirrored across the longitudinal fissure into the cyst.Results: Differences in mean E-field and 90th percentile E-fields were mainly observed in brain regions closest to the cyst including the left inferior frontal gyrus and left middle frontal gyrus. This trend was most pronounced in montages where the electrodes were closest to the cyst such as left unilateral and bitemporal.Conclusion: The presence of a highly conductive cyst close to the ECT electrode tended to attract current into the cyst region, altering current pathways, with potential implications for therapeutic efficacy and safety. Placing electrodes farther away from the cyst is likely to minimize any effects on the E-field distribution and potentially clinical outcomes.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"277-285"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effective Management of Postelectroconvulsive Therapy Delirium With Propofol: A Case Series. 丙泊酚对电休克治疗后谵妄的有效处理：病例系列。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-08-01 DOI: 10.1097/YCT.0000000000001059

Huei-Ping Chiu, Min-Ho Chan, Ching-Hua Lin

引用次数: 0

JAMA Patient Page on Perinatal Depression: No Mention of ECT. 美国医学会杂志》关于围产期抑郁症的患者页面：未提及电痉挛疗法。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-18 DOI: 10.1097/YCT.0000000000001055

Charles H Kellner

引用次数: 0

Effect of Transcranial Direct Current Stimulation on Craving, Cognitive Functions, and Serum Brain-Derived Neurotrophic Factor Level in Individuals on Maintenance Treatment for Opioid Use Disorder, A Randomized Sham-Controlled Trial. 经颅直流电刺激对阿片类药物使用障碍维持治疗者的渴求、认知功能和血清脑源性神经营养因子水平的影响，一项随机假对照试验。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI: 10.1097/YCT.0000000000001046

Bahareh Borzooee, Shahrokh Aghayan, Peyman Hassani-Abharian, Mohammad Hassan Emamian

{"title":"Effect of Transcranial Direct Current Stimulation on Craving, Cognitive Functions, and Serum Brain-Derived Neurotrophic Factor Level in Individuals on Maintenance Treatment for Opioid Use Disorder, A Randomized Sham-Controlled Trial.","authors":"Bahareh Borzooee, Shahrokh Aghayan, Peyman Hassani-Abharian, Mohammad Hassan Emamian","doi":"10.1097/YCT.0000000000001046","DOIUrl":"10.1097/YCT.0000000000001046","url":null,"abstract":"Objectives: To investigate the effects of transcranial direct current stimulation (tDCS) on brain-derived neurotrophic factor (BDNF) levels, craving, and executive functions in individuals on maintenance treatment for opioid use.Methods: We randomized 70 right-handed men aged 18-55 years into 2 groups: the intervention group and the sham group. The intervention was 10 sessions of 2 mA stimulation over 5 days. Each session in the sham group ended after 30 seconds. Craving was measured using the Desire for Drug Questionnaire (DDQ), Obsessive Compulsive Drug Use Scale (OCDUS), and visual analog scale (VAS). The measurements were taken before and after the intervention, as well as 2 months later. BDNF was measured before and after the intervention. Repeated-measures analysis of variance, the generalized estimating equation model, and independent t test were used for data analysis.Results: The mean differences (95% confidence intervals) in pre and post craving scores in the intervention group were (12.71 [9.10 to 16.32], P = 0.167) for VAS, (1.54 [1.12 to 1.96], P = 0.012) for OCDUS, and (1.71 [1.27 to 2.15], P = 0.125) for DDQ. These measures in the control group were -0.44 (-1.19 to 0.30), 0.01 (-0.21 to 0.23), and 0.126 (-0.11 to 0.36), respectively. BDNF serum levels significantly increased after the intervention (difference, 0.84 [0.69 to 0.99], P < 0.001); however, this change was not significant in the generalized estimating equation model. The effect of tDCS on craving was significant in OCDUS, but not significant in VAS and DDQ.Conclusions: The tDCS reduces craving and improves executive functions in the short term. BDNF serum level was not associated with tDCS.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"e38-e48"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electroconvulsive Therapy and Its New Competitors: ECT Remains the Gold Standard. 电休克疗法及其新的竞争对手：电休克疗法仍是黄金标准。

IF 1.8 4区医学

Journal of Ect Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI: 10.1097/YCT.0000000000001034

David Zilles-Wegner, Charles H Kellner, Alexander Sartorius

引用次数: 0