Gerring J P, Shields H M
J Clin Psychiatry. 1982 Apr;43(4):140-3.
The authors describe the cardiovascular complications of ECT in 42 patients undergoing this procedure during a one year period at a psychiatric referral center. Twenty-eight percent of the entire group of patients developed ischemic and/or arrhythmic complications following ECT. Seventy percent of the patients who had a history, physical or EKG evidence of cardiac disease developed cardiac complications. On the basis of this data, a high risk category for ECT is defined more precisely than previously. Recommendations are made for managing this high risk category of depressed patients in order to treat them with maximum safety and effectiveness.
作者描述了一家精神科转诊中心在一年时间里42例接受电休克治疗（ECT）患者的心血管并发症情况。在接受ECT治疗的全体患者中，28%出现了缺血性和/或心律失常并发症。有心脏病史、体检或心电图证据的患者中，70%出现了心脏并发症。基于这些数据，ECT的高风险类别比以往定义得更加精确。文中针对这类高风险抑郁症患者的管理提出了建议，以便在确保最大安全性和有效性的前提下对他们进行治疗。
