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12 papers 25 to 100 followers Practical articles in ECT
By Ahmed Elaghoury Egyptian board certified in psychiatry. Combined practice with neurology and sleep medicine.
Hannah R Driver
OBJECTIVE: It is essential that a medical assessment is completed before commencing electroconvulsive therapy (ECT) to identify possible risk factors that may complicate anesthesia. This audit aimed to improve the physical examination and documented medical history of this assessment usually performed by referring psychiatrists. METHODS: Patients from 2 sites (A and B) were retrospectively audited against standards from the Scottish ECT Accreditation Network. The timing and systems examined for the physical examination were noted...
June 2016: Journal of ECT
Almir Tavares, Fernando Madalena Volpe
No abstract text is available yet for this article.
June 2016: Journal of ECT
Sarah Carney, Musa Basseer Sami, Victoria Clark, Kompancariel Kuruvilla Kuruvilla
We describe the case of an 89-year-old woman (deceased) with a 60-year history of recurrent depressive disorder treated with electroconvulsive therapy (ECT). It is estimated that she received up to 400 ECTs over her life course as her symptoms would not respond to oral medication. Despite extensive exposure to ECT, there was only minimal cognitive impairment and an excellent safety record, even in later life, as she became increasingly frail from multiple comorbidities. Over the years, there has been a drive to reduce the frequency of ECT administration...
May 24, 2015: BMJ Case Reports
M M de Wolf, E G M Olde Bijvank
Takotsubo cardiomyopathy is an acute, stress-induced, reversible cardiac syndrome and can occur as a rare complication in electroconvulsive therapy. We give further details of this complication by referring to the case of a 67-year-old female patient. In addition, we give a brief description of the background of the syndrome. If this syndrome is suspected, the patient should immediately be referred for cardiac diagnostic tests to rule out myocardial infarction. There is no absolute contra-indication to ECT for a patient who has experienced Takotsubo cardiomyopathy...
2015: Tijdschrift Voor Psychiatrie
Gro Strømnes Dybedal, Lars Tanum, Kjetil Sundet, Tor Magne Bjølseth
OBJECTIVE: Electroconvulsive therapy (ECT) is an effective biological treatment option for severely depressed elderly patients; however, it can cause cognitive side effects, including anterograde and retrograde amnesia. Elderly patients with "cognitive impairment no dementia" (CIND) are reported as being more vulnerable to the cognitive side effects of ECT compared with patients with "no cognitive impairment" (NCI). The few studies that have reached this conclusion can be criticized for using insensitive outcome measures...
2015: Clinical Neuropsychologist
Leonardo F Fontenelle, Evandro S F Coutinho, Natália M Lins-Martins, Paul B Fitzgerald, Hironobo Fujiwara, Murat Yücel
OBJECTIVE: Surgical therapies for treatment-refractory obsessive-compulsive disorder (OCD), such as deep brain stimulation or psychosurgery, remain unattainable for many patients. Despite the long-held view that electroconvulsive therapy (ECT) is an ineffective treatment for OCD, there is no systematic review to support or refute this claim, which is the basis of the current review. DATA SOURCES: A systematic search of MEDLINE, Web of Science, Scopus, and LILACS databases was conducted on December 22, 2013, using the terms obsessive-compulsive disorder and electroconvulsive therapy...
July 2015: Journal of Clinical Psychiatry
Sandeep Grover, Nandita Hazari, Natasha Kate
OBJECTIVE: This paper aims to review the available evidence for the use of clozapine and electroconvulsive therapy (ECT) in combination. METHODOLOGY: Electronic searches were carried out to identify reports describing the combined use of clozapine and ECT. RESULTS: Forty reports including 208 patients were identified. The majority of reports were in the form of case reports and case series, with few retrospective and open-label studies. The majority of patients were aged between 18 and 65 years and diagnosed with schizophrenia or schizoaffective disorder...
June 2015: Acta Neuropsychiatrica
Pierpaolo Medda, Cristina Toni, Giulio Perugi
The "ideal" mood stabilizer has been defined as an agent displaying demonstrated efficacy for the acute treatment and long-term prevention of both mania and depression. On the basis of a selective and an extensive review of the existing literature primarily focused on prospective and controlled studies, we discuss the potential mood-stabilizing effects of electroconvulsive therapy (ECT) and its efficacy for the acute treatment of bipolar depressive and mixed-manic states and the prevention of all types of recurrences of bipolar disorder (BD)...
December 2014: Journal of ECT
Kazuyuki Yasuda, Kaoru Kobayashi, Masayasu Yamaguchi, Koichi Tanaka, Tomokazu Fujii, Yuichi Kitahara, Toshio Tamaoki, Yutaka Matsushita, Akihiko Nunomura, Nobutaka Motohashi
AIM: Seizure threshold (ST) in electroconvulsive therapy (ECT) has not been reported previously in Japanese patients. We investigated ST in bilateral ECT in Japanese patients using the dose-titration method. The associations between demographic and clinical characteristics and ST were analyzed to identify the predictors of ST. Finally, the validity of the half-age method for the stimulus dose was evaluated. METHODS: Fifty-four Japanese patients with mood disorder, schizophrenia, and other psychotic disorders received an acute course of bilateral ECT using a brief-pulse device...
January 2015: Psychiatry and Clinical Neurosciences
Norio Yasui-Furukori, Atsuhiro Kikuchi, Hiroshi Katagai, Sunao Kaneko
BACKGROUND: Tardive dystonia and dyskinesia are potentially irreversible neurological syndromes. Successful electroconvulsive treatment (ECT) has been reported by multiple sources; however, the existing retrospective reviews and open prospective trials provide little information on the response rate. METHODS: Eighteen consecutive patients with tardive dystonia or dyskinesia received a standard course of ECT to treat abnormal movement. The severity of the tardive dystonia and dyskinesia was evaluated using the Abnormal Involuntary Movement Scale (AIMS) before and after the course of ECT...
2014: Neuropsychiatric Disease and Treatment
Dietmar Winkler, Edda Pjrek, Rupert Lanzenberger, Pia Baldinger, Daniel Eitel, Siegfried Kasper, Richard Frey
Depressive disorder is frequently accompanied by changes in psychomotor activity and disturbances of the sleep-wake cycle. The chronobiological effects of electroconvulsive therapy (ECT) in patients with treatment-resistant depression (TRD) are largely unknown. The objective of the current study was to measure the influence of ECT on patients' activity and sleep. 15 patients with unipolar TRD were treated with ECT. Activity levels were measured with wrist actigraphy before and after ECT. Remission rate (score on the 17-item Hamilton Depression Rating Scale lower than 8 points) was 40...
October 2014: Journal of Psychiatric Research
E Denise Brown, How Lee, Daniel Scott, Greta G Cummings
OBJECTIVE: Divergent opinion surrounds the use of continuation/maintenance electroconvulsive therapy (c/mECT) as a recurrence prevention strategy in depression because of limited data on efficacy and adverse effects. In an effort to synthesize what is known about its efficacy, a systematic review of controlled studies reporting efficacy of c/mECT for the prevention of relapse or recurrence of a depressive episode in adults with unipolar major depression was conducted. METHODS: Eleven electronic databases were searched with a 3-stage screening process conducted by the author with an independent review...
September 2014: Journal of ECT
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