Hemodynamic Status Among ECT Patients

Authors

  • Eslami Kenarsari, Habib Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.
  • Ghazanfar Tehran , Samaneh Anesthesiology Research Center, Department of Anesthesiology, Alzahra hospital, Guilan University of Medical Sciences, Rasht, Iran.
  • Haddad Komleh , Ebrahim Shafa Hospital ,Guilan University of Medical Sciences, Rasht , Iran.
  • Baghernezhad, Fatemeh Shafa Hospital ,Guilan University of Medical Sciences, Rasht , Iran.
  • Biazar, Gelareh Department of Psychiatry, Kavosh behavioral, cognitive and addiction research center, Shafa hospital, Guilan University of Medical Sciences, Rasht, Iran.
  • Erabi, Sahar Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
  • Khoshnoud Speily , Samin Shafa Hospital ,Guilan University of Medical Sciences, Rasht , Iran.
  • Mirzababaei , Samira Shafa Hospital ,Guilan University of Medical Sciences, Rasht , Iran.
  • Montazery , Batul Shafa Hospital ,Guilan University of Medical Sciences, Rasht , Iran .
  • Soleimani , Robabeh Department of Psychiatry, Kavosh behavioral, cognitive and addiction research center, Shafa hospital, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:

Background: Electroconvulsive therapy (ECT) is a safe and practical treatment method for patients with severe, refractory or emergency psychiatric disorders. However, it is often associated with hemodynamic fluctuations.  Objective: The purpose of this study was to investigate the pattern of hemodynamic changes in patients undergoing ECT. Methods: This longitudinal study was conducted at Shafa hospital, a referral and academic center in Rasht, Iran, during 2020. Hemodynamic parameters including heart rate (HR) systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were recorded before induction of anesthesia (T0), one minute after induction of anesthesia (T1), one minute after seizure (T2), and 15 minutes after wakefulness (T3). The trend of changes of these parameters was determined during the mentioned time intervals. Results: Finally, the data from total 126 patients were analyzed. Most of the cases were diagnosed with psychotic disorder of Schizophrenia (59.5%) and the least of them had Major depression (14.3%) and 15.9% of them suffered from comorbidities. In terms of SBP, DBP and MAP, the trend of changes was significant (P=0.0001) at four measurement point times, but not about HR (P= 0.74). However, all the changes in hemodynamic parameters were kept in the normal range. Conclusion: Our study showed that despite the fluctuations in hemodynamic parameters during ECT, patient management was acceptable as a result of teamwork and apropriate interaction of psychiatric and anesthesia teams.  

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volume 31  issue 3

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publication date 2022-10

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