Adverse Effects of Electroconvulsive Therapy

被引:159
作者
Andrade, Chittaranjan [1 ]
Arumugham, Shyam Sunder [2 ]
Thirthalli, Jagadisha [2 ]
机构
[1] Natl Inst Mental Hlth & Neurosci, Dept Psychopharmacol, Hosur Rd, Bangalore 560029, Karnataka, India
[2] Natl Inst Mental Hlth & Neurosci, Dept Psychiat, Hosur Rd, Bangalore 560029, Karnataka, India
关键词
Electroconvulsive therapy; Adverse effects; Complications; Cognition; Risk factors; AUTOBIOGRAPHICAL MEMORY; POSTICTAL AGITATION; COGNITIVE DEFICITS; TARDIVE SEIZURE; ECT; PATIENT; PREGNANCY; HEADACHE; RUPTURE; MANIA;
D O I
10.1016/j.psc.2016.04.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Electroconvulsive therapy (ECT) is an effective treatment commonly used for depression and other major psychiatric disorders. We discuss potential adverse effects (AEs) associated with ECT and strategies for their prevention and management. Common acute AEs include headache, nausea, myalgia, and confusion; these are self-limiting and are managed symptomatically. Serious but uncommon AEs include cardiovascular, pulmonary, and cerebrovascular events; these may be minimized with screening for risk factors and by physiologic monitoring. Although most cognitive AEs of ECT are short-lasting, troublesome retrograde amnesia may rarely persist. Modifications of and improvements in treatment techniques minimize cognitive and other AEs.
引用
收藏
页码:513 / +
页数:19
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