Absence of Asystole During Bifrontal Stimulation in Electroconvulsive Therapy
- 1 June 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in The Journal of ECT
- Vol. 26 (2), 100-103
- https://doi.org/10.1097/yct.0b013e3181c18926
Abstract
Cardiac action was monitored during the stimulation period of 120 consecutive electroconvulsive therapies. Electrode placement was right unilateral in 73, bitemporal in 11, and bifrontal in 36 cases. Anticholinergic premedication was routinely given. A reduction in heart rate was seen consistently with unilateral electrode placement and asystole longer than 2 seconds occurred in 63% of cases. In contrast, no asystole occurred with bifrontal electrode placement. Thus, the vagus nerve seems to be less activated during bifrontal stimulation.Keywords
This publication has 4 references indexed in Scilit:
- Glycopyrrolate Prevents Extreme Bradycardia and Cerebral Deoxygenation During Electroconvulsive TherapyThe Journal of ECT, 2007
- Anesthesia for Electroconvulsive TherapyAnesthesia & Analgesia, 2002
- Incidence of Asystole in Electroconvulsive Therapy in Elderly PatientsAmerican Journal of Geriatric Psychiatry, 1998
- Incidence of Asystole in Electroconvulsive Therapy in Elderly PatientsAmerican Journal of Geriatric Psychiatry, 1998