Incessant non‐sustained ventricular tachycardia after stimulus of electroconvulsive therapy with atropine premedication?

Electroconvulsive therapy (ECT) is an effective and safe treatment for a variety of neuropsychiatric disorders. Premedication with atropine has been recommended in order to avoid bradycardia and transient asystole induced by ECT. In contrast, some other arrhythmias can happen such as atrial flutter...

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Bibliographic Details
Published in:Psychiatry and clinical neurosciences 2007-10, Vol.61 (5), p.564-567
Main Authors: KIM, CHOL, YOKOZUKA, MOTOI, SATO, CHIYO, NAKANISHI, KAZUHIRO, KITAMURA, AKIRA, SAKAMOTO, ATSUHIRO
Format: Article
Language:English
Subjects:
Adrenergic beta-Antagonists - administration & dosage
Anti-Arrhythmia Agents - administration & dosage
Anti-Arrhythmia Agents - adverse effects
Atropine - administration & dosage
Atropine - adverse effects
atropine premedication
Biological and medical sciences
Cardiac dysrhythmias
Cardiology. Vascular system
Depressive Disorder, Major - therapy
Electrocardiography - drug effects
Electroconvulsive therapy
Electroconvulsive Therapy - adverse effects
Heart
Humans
incessant non‐sustained ventricular tachycardia
Infusions, Intravenous
Male
Medical sciences
Middle Aged
Morpholines - administration & dosage
Preanesthetic Medication - adverse effects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Recurrence
Retreatment
Tachycardia, Ventricular - drug therapy
Tachycardia, Ventricular - etiology
Treatments
Urea - administration & dosage
Urea - analogs & derivatives
Ventricular Premature Complexes - drug therapy
Ventricular Premature Complexes - etiology
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Summary:Electroconvulsive therapy (ECT) is an effective and safe treatment for a variety of neuropsychiatric disorders. Premedication with atropine has been recommended in order to avoid bradycardia and transient asystole induced by ECT. In contrast, some other arrhythmias can happen such as atrial flutter and fibrillation. But ventricular tachycardia is rare. Reported herein is a case of incessant non‐sustained ventricular tachycardia, possibly triggered by atropine premedication.
ISSN:1323-1316
1440-1819
DOI:10.1111/j.1440-1819.2007.01708.x