Key result
Electroconvulsive therapy in patients aged 50-83 caused transitory increases in systolic blood pressure (29%, P<0.001) and maximum heart rate (56%, P<0.001) without triggering malignant arrhythmias.
Why the study?
Does electroconvulsive therapy affect arterial blood pressure, heart rate, heart rate variability, and the occurrence of ischemia or arrhythmias in depressive patients older than 50 years?
Population
38 depressive patients free from systemic diseases, aged 50 to 83 years (mean 64.7 +/- 8.6), including 18 men.
Comparison
Electroconvulsive therapy vs Baseline (before electroconvulsive therapy)
Design
Cohort
Follow-up
3 hours after electroconvulsive therapy
Authors
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ECT appears hemodynamically tolerable without arrhythmias in selected older patients; leaves open confirmation in randomized trials with comorbidities.
Observational (n=38)
Does electroconvulsive therapy affect arterial blood pressure, heart rate, heart rate variability, and the occurrence of ischemia or arrhythmias in depressive patients older than 50 years?
p-value: p=<0.001
In middle-aged and elderly patients without systemic disease, electroconvulsive therapy causes transient increases in blood pressure and heart rate without triggering serious adverse cardiovascular events.
Takada et al. (2005) conducted an observational in Depression (n=38). Electroconvulsive therapy vs. Baseline (before therapy) was evaluated on Arterial blood pressure, heart rate, heart rate variability, and the occurrence of ischemia or arrhythmias (p=<0.001). Electroconvulsive therapy in patients aged 50-83 caused transitory increases in systolic blood pressure (29%, P<0.001) and maximum heart rate (56%, P<0.001) without triggering malignant arrhythmias.
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