PMID: 9659953Jul 11, 1998Paper

Incidence of asystole in electroconvulsive therapy in elderly patients

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
J Burd, P Kettl

Abstract

The authors prospectively investigated the incidence of asystole (absence of heartbeat for 5 seconds) in elderly patients receiving electroconvulsive therapy (ECT) at a university-based geriatric psychiatry unit. In all, 65.8% of patients experienced asystole at some time during their course of ECT. Those who experienced asystole were significantly younger (average age, 72.2) than those without asystole (average age, 77.0; P = 0.026) and were also less likely to have cardiac rhythm disturbances on electrocardiogram (P = 0.024). Medical history, history of cardiac disease, electrode placement, energy level, and number of ECT treatments did not predict asystole. Asystole is a common side effect of ECT in elderly patients. It was not associated with any untoward outcome. The fact that "old-old" patients and those with cardiac disease are less likely to experience asystole than younger, healthier patients is reassuring to practitioners of ECT.

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Citations

Jan 1, 2005·International Journal of Psychiatry in Clinical Practice·Nesrin DilbazAli Türkoglu
Sep 14, 2007·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Christian LuckhausJoachim Cordes
Jun 29, 2011·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Manon Jeannette GosselinkIrene Maria van Vliet
Nov 19, 2011·Acta Anaesthesiologica Scandinavica·H MirzakhaniA Nozari
Jun 26, 2004·Journal of Clinical Anesthesia·Marnie Robinson, Geoffery Lighthall
Mar 29, 2005·The Journal of ECT·Erik J GiltayBen A Blansjaar
May 16, 2000·Journal of the American Geriatrics Society·K G Kelly, M Zisselman
Jan 6, 2011·The International Journal of Neuropsychopharmacology·Patrick T StewartDusan Hadzi-Pavlovic
Dec 29, 2000·Depression and Anxiety·C J Datto
Apr 3, 2009·The New England Journal of Medicine·Anjala V Tess, Gerald W Smetana
Feb 6, 2008·The Australian and New Zealand Journal of Psychiatry·Vladimir Sazhin, Robert Reznik
Jun 27, 2002·Journal of Geriatric Psychiatry and Neurology·Ilkka KujalaSvein Ivar Bekkelund
Jul 5, 2001·The Australian and New Zealand Journal of Psychiatry·W K Tang, G S Ungvari
Jun 14, 2003·The Cochrane Database of Systematic Reviews·F B Van der WurffA T Beekman
Aug 27, 2002·The Journal of ECT·Shyam K BhatConrad M Swartz

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