Continuous Transthoracic Echocardiography in a 93-Year-Old Patient With Hypertrophic Cardiomyopathy During Electroconvulsive Therapy

被引：3
|
作者：
Robinson, Albert R., III [1 ]
Holbert, Richard [1 ]
Modell, Jerome H. [1 ]
Gravenstein, Nikolaus [1 ]
机构：
[1] Univ Florida, Coll Med, Gainesville, FL 32610 USA
来源：
JOURNAL OF ECT | 2011年 / 27卷 / 03期
关键词：
electroconvulsive therapy; hypertrophic cardiomyopathy; transthoracic echocardiography; arrhythmias; ARRHYTHMIAS; MANAGEMENT; PRETREATMENT; MOTION;
D O I：
10.1097/YCT.0b013e318223821b
中图分类号：
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号：
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要：
Electroconvulsive therapy (ECT) is the treatment of choice for patients with a major depression disorder who have failed antidepressant therapy. Patients with hypertrophic cardiomyopathy (HCM) may have dynamic obstruction to left ventricular (LV) outflow. The effects on myocardial function during ECT and pretreatment with antihypertensive agents in patients with HCM and LV outflow tract obstruction gradients are unknown. We report the first use of continuous transthoracic echocardiography during ECT in a patient with HCM. We confirmed an outflow tract obstruction and showed a decrease in LV out-flow tract gradients. Continuous transthoracic echocardiography monitoring using Doppler echocardiography during ECT is feasible.
引用
收藏
页码：224 / 226
页数：3
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