Severe bradycardia at the termination of seizure during electroconvulsive therapy
Abstract Background Few cases of asystole or severe bradycardia occurring after the termination of seizure in the third phase with the dominance of parasympathetic nervous system activity during electroconvulsive therapy (ECT) have been reported. We describe a case of severe bradycardia occurring at...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2020-10-01
|
Series: | JA Clinical Reports |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s40981-020-00389-6 |
id |
doaj-26b72f46c22349b391301795408e697b |
---|---|
record_format |
Article |
spelling |
doaj-26b72f46c22349b391301795408e697b2021-04-02T13:32:43ZengSpringerOpenJA Clinical Reports2363-90242020-10-01611410.1186/s40981-020-00389-6Severe bradycardia at the termination of seizure during electroconvulsive therapyYuji Kadoi0Minoru Michizaki1Takanari Saito2Jo Ota3Shigeru Saito4Tatsuo Sameshima5Gunma University HospitalDepartment of Anesthesiology, Gunma University School of MedicineDepartment of Anesthesiology, Gunma University School of MedicineDepartment of Anesthesiology, Gunma University School of MedicineDepartment of Anesthesiology, Gunma University School of MedicineDepartment of Psychiatry, Minkodo Aburayama HospitalAbstract Background Few cases of asystole or severe bradycardia occurring after the termination of seizure in the third phase with the dominance of parasympathetic nervous system activity during electroconvulsive therapy (ECT) have been reported. We describe a case of severe bradycardia occurring at the termination of seizure. Case presentation The patient had been diagnosed with bipolar disorder more than 9 years earlier. No adverse hemodynamic events had been observed in over 100 sessions of ECT performed during a 9-year period. ECT was usually induced by propofol and suxamethonium. On this ECT, the heart rate gradually decreased before seizure termination, and severe bradycardia (5–6 beats/min) was identified lasting 15–20 s. Atropine administration immediately before electrical stimulus prevented any further bradycardia during the next session of ECT. Conclusions This case report indicates that attention should be paid to adverse cardiac events related to autonomic nerve activity even before such events occur during ECT.http://link.springer.com/article/10.1186/s40981-020-00389-6Severe bradycardiaElectroconvulsive therapyAutonomic nerve system |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuji Kadoi Minoru Michizaki Takanari Saito Jo Ota Shigeru Saito Tatsuo Sameshima |
spellingShingle |
Yuji Kadoi Minoru Michizaki Takanari Saito Jo Ota Shigeru Saito Tatsuo Sameshima Severe bradycardia at the termination of seizure during electroconvulsive therapy JA Clinical Reports Severe bradycardia Electroconvulsive therapy Autonomic nerve system |
author_facet |
Yuji Kadoi Minoru Michizaki Takanari Saito Jo Ota Shigeru Saito Tatsuo Sameshima |
author_sort |
Yuji Kadoi |
title |
Severe bradycardia at the termination of seizure during electroconvulsive therapy |
title_short |
Severe bradycardia at the termination of seizure during electroconvulsive therapy |
title_full |
Severe bradycardia at the termination of seizure during electroconvulsive therapy |
title_fullStr |
Severe bradycardia at the termination of seizure during electroconvulsive therapy |
title_full_unstemmed |
Severe bradycardia at the termination of seizure during electroconvulsive therapy |
title_sort |
severe bradycardia at the termination of seizure during electroconvulsive therapy |
publisher |
SpringerOpen |
series |
JA Clinical Reports |
issn |
2363-9024 |
publishDate |
2020-10-01 |
description |
Abstract Background Few cases of asystole or severe bradycardia occurring after the termination of seizure in the third phase with the dominance of parasympathetic nervous system activity during electroconvulsive therapy (ECT) have been reported. We describe a case of severe bradycardia occurring at the termination of seizure. Case presentation The patient had been diagnosed with bipolar disorder more than 9 years earlier. No adverse hemodynamic events had been observed in over 100 sessions of ECT performed during a 9-year period. ECT was usually induced by propofol and suxamethonium. On this ECT, the heart rate gradually decreased before seizure termination, and severe bradycardia (5–6 beats/min) was identified lasting 15–20 s. Atropine administration immediately before electrical stimulus prevented any further bradycardia during the next session of ECT. Conclusions This case report indicates that attention should be paid to adverse cardiac events related to autonomic nerve activity even before such events occur during ECT. |
topic |
Severe bradycardia Electroconvulsive therapy Autonomic nerve system |
url |
http://link.springer.com/article/10.1186/s40981-020-00389-6 |
work_keys_str_mv |
AT yujikadoi severebradycardiaattheterminationofseizureduringelectroconvulsivetherapy AT minorumichizaki severebradycardiaattheterminationofseizureduringelectroconvulsivetherapy AT takanarisaito severebradycardiaattheterminationofseizureduringelectroconvulsivetherapy AT joota severebradycardiaattheterminationofseizureduringelectroconvulsivetherapy AT shigerusaito severebradycardiaattheterminationofseizureduringelectroconvulsivetherapy AT tatsuosameshima severebradycardiaattheterminationofseizureduringelectroconvulsivetherapy |
_version_ |
1721564561206673408 |