Severe confusion in a patient receiving electroconvulsive therapy and atenolol

The Journal of Nervous and Mental Disease
B A Kramer

Abstract

Atenolol is a beta-blocker antihypertensive agent that reportedly has little central nervous system action. A patient was given atenolol during a course of electroconvulsive therapy and developed an organic mental syndrome with paranoid delusions. The possible alteration of the permeability of the blood-brain barrier by electroconvulsive therapy may have enabled atenolol to cause this unusual side effect.

Citations

Mar 7, 2003·Cardiology in Review·Seth Keller, William H Frishman
Oct 22, 1988·BMJ : British Medical Journal·N Arber
Jan 1, 1989·Journal of the American Psychoanalytic Association·H P Blum
Oct 9, 2003·International Journal of Geriatric Psychiatry·F B van der WurffA T F Beekman
Jun 14, 2003·The Cochrane Database of Systematic Reviews·F B Van der WurffA T Beekman
Nov 6, 2001·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·K Rabheru

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