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在给予阿托品预处理后进行电惊厥治疗刺激后出现持续性非持续性室性心动过速?

Incessant non-sustained ventricular tachycardia after stimulus of electroconvulsive therapy with atropine premedication?

作者信息

Kim Chol, Yokozuka Motoi, Sato Chiyo, Nakanishi Kazuhiro, Kitamura Akira, Sakamoto Atsuhiro

机构信息

Department of Anesthesiology, Nippon Medical School, Sendagi, Tokyo, Japan.

出版信息

Psychiatry Clin Neurosci. 2007 Oct;61(5):564-7. doi: 10.1111/j.1440-1819.2007.01708.x.

Abstract

Electroconvulsive therapy (ECT) is an effective and safe treatment for a variety of neuropsychiatric disorders. Premedication with atropine has been recommended in order to avoid bradycardia and transient asystole induced by ECT. In contrast, some other arrhythmias can happen such as atrial flutter and fibrillation. But ventricular tachycardia is rare. Reported herein is a case of incessant non-sustained ventricular tachycardia, possibly triggered by atropine premedication.

摘要

电休克疗法(ECT)是治疗多种神经精神疾病的一种有效且安全的方法。为避免ECT诱发心动过缓和短暂心脏停搏,已建议使用阿托品进行术前用药。相比之下,还可能发生其他一些心律失常,如心房扑动和心房颤动。但室性心动过速较为罕见。本文报告了一例持续性非持续性室性心动过速病例,可能由阿托品术前用药引发。

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