Electroconvulsive therapy (ECT) is increasingly used as a treatment for psychiatric disorders. Cardiac effects are the principal cause of medical complications in these patients. We report a case of atrioventricular (AV) dissociation that occurred after ECT that was treated with pacemaker implantation. The mechanisms contributing to the onset of AV dissociation in this patient, and the manageme...

It is a myth that electroconvulsive therapy (ECT) produces greater side effects and worsens the neurological condition when used in neurologically ill patients. With the advancement and sophistication in ECT practice standards and modification procedures, it can be safely administered either to treat selected neurological conditions or the co-morbid psychiatric illnesses without additional risk...

The author reviews reports of neuropathology resulting from electroconvulsive therapy in experimental animals and humans. Although findings of petechial hemorrhage, gliosis, and neuronal loss were well established in the decade following the introduction of ECT, they have been generally ignored since then. ECT produces characteristic EEG changes and severe retrograde amnesia, as well as other m...

Cognitive deficits are commonly associated with maintenance electroconvulsive therapy (ECT). Treatment of these cognitive deficits is important but difficult. Cholinergic pathways are involved in these side effects, and donepezil, a cholinesterase inhibitor, may be useful for improvement of cognition. In this case report, we describe for the first time successful use of donepezil in treating co...

This article examines in depth whether electroconvulsive therapy (ECT) satisfies bioethics' four healthcare provision principles: nonmaleficence, beneficence, justice, and autonomy. Treating patients ethically implies protecting them from damages, working to ensure their well-being, respecting decisions once they have been correctly informed. Although most of the medical literature states that ...

Background: Electroconvulsive therapy (ECT) is demonstrated to be an effective treatment in some psychiatric disorders. It is postulated ECT should primarily be considered for patients with treatment-resistant obsessive-compulsive disorder (OCD) in the context of major depression. Therefore, we aimed to evaluate the efficacy of ECT in OCD patients without comorbid psychiatric disorders. Method...

background: the electrical dose selected for electroconvulsive therapy (ect) must have an acceptable efficacy and no or minimal cognitive side-effects. we evaluated the clinical efficacy and cognitive side-effects of ect in relation to the stimulus dose administered.   method: this study assessed 71 depressed patients who were treated with bilateral ect. for evaluation of depressive and cogniti...

Abstract Background Cotard’s syndrome (CS) is a neuropsychiatric condition marked by nihilistic delusional(s). Due to its rarity, misdiagnosis of the often occurs. The current case study Malaysian woman who was misdiagnosed for several years professionals due presence hypochondriac symptoms before receiving correct diagnosis. Case presentation In this presentation, we describe L, 42-year-old la...

Background This study is focused on the comparative efficacy of bilateral and unilateral electroconvulsive therapy (ECT) depressive symptoms in patients at Perth Clinic for period from 2016 to 2021. Methods was a retrospective cohort 485 who received ECT treatment. The expected improvements were evaluated by Depression Anxiety Stress Scale (DASS) assessment tool filled out admission discharge h...

This issue includes the findings from the largest randomised controlled trial ever conducted with bilateral, unilateral and bifrontal electroconvulsive therapy (ECT). The background to the study and its findings are discussed.