Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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A Case of ECT-induced Arrhythmia(PVC)

전기경련요법에 의하여 유발된 심부정맥(PVC) 1례

  • Kim, Duk-Ho (Department of Neuropsychiatry, Seoul Red Cross Hospital) ;
  • Lee, Ho-Taek (Department of Neuropsychiatry, Seoul Red Cross Hospital) ;
  • Paik, Ju-Hee (Department of Neuropsychiatry, Seoul Red Cross Hospital) ;
  • Lee, Sang-Yeon (Department of Neuropsychiatry, Seoul Red Cross Hospital)
  • 김덕호 (서울적십자병원 신경정신과) ;
  • 이호택 (서울적십자병원 신경정신과) ;
  • 백주희 (서울적십자병원 신경정신과) ;
  • 이상연 (서울적십자병원 신경정신과)
  • Published : 1997.12.15
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Abstract

Electroconvulsive therapy(ECT) is one of the most effective treatment modalities for the treatment of depression, mania, schizophrenia, or other neuropsychiatric disorders. But, reportedly ECT also can produce various forms of cardiac arrhythmia. We experienced a case of ECT-induced arrhythmia(PVC) accompanied with chest pain in a schizophrenic patient during the course of plain ECT. We conclude that there is a possible causal relationship between ECT and cardiac arrhythmia(PVC). The mechanisms of cardiac arrhythmia(PVC) due to ECT may be explained by the effects of ECT to vagal and sympathetic nervous systems. from this case report, We suggest that careful cardiac monitoring before, during, and after ECT with appropriate anesthetic preparation to a patient may enable to minimize the cardiovascular side effects of ECT in the patients with neuropsychiatric disorders.

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