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主动脉瓣狭窄患者的电休克治疗

Electroconvulsive therapy in patients with aortic stenosis.

作者信息

Rasmussen K G

机构信息

Department of Psychiatry, Medical College of Virginia, Richmond 23298-0710, U.S.A.

出版信息

Convuls Ther. 1997 Sep;13(3):196-9.

PMID:9342136
Abstract

Aortic stenosis confers an increased risk of complications during procedures with general anesthesia. There are no previously reported cases of electroconvulsive therapy (ECT) in patients with this valvular defect. Two cases are described of patients with moderate to severe aortic stenosis confirmed by echocardiography in whom courses of ECT resulted in clinical improvement without untoward cardiac complications. It is concluded that ECT can be safely given to patients with aortic stenosis in whom left ventricular function is normal.

摘要

主动脉瓣狭窄会增加全身麻醉手术期间并发症的风险。此前尚无关于患有这种瓣膜缺陷的患者接受电休克治疗(ECT)的报道病例。本文描述了两例经超声心动图确诊为中重度主动脉瓣狭窄的患者,其ECT疗程使病情得到临床改善,且未出现不良心脏并发症。结论是,对于左心室功能正常的主动脉瓣狭窄患者,可以安全地进行ECT治疗。

相似文献

1
Electroconvulsive therapy in patients with aortic stenosis.主动脉瓣狭窄患者的电休克治疗
Convuls Ther. 1997 Sep;13(3):196-9.
2
Transcatheter aortic valve implantation: anesthetic considerations.经导管主动脉瓣植入术:麻醉相关考量
Anesth Analg. 2009 May;108(5):1453-62. doi: 10.1213/ane.0b013e31819b07ce.
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Safe administration of ECT in a patient with a cardiac aneurysm and multiple cardiac risk factors.在患有心脏动脉瘤和多种心脏危险因素的患者中安全实施电休克治疗。
Convuls Ther. 1997 Sep;13(3):200-3.
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Electroconvulsive therapy in a 96-year-old patient with severe aortic stenosis: a case report and review of the literature.96岁重度主动脉瓣狭窄患者的电休克治疗:病例报告及文献综述
J ECT. 2008 Mar;24(1):96-8. doi: 10.1097/YCT.0b013e31814da9d5.
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Supraventricular tachycardia in a patient receiving ECT, clozapine, and caffeine.一名接受电休克治疗、服用氯氮平和咖啡因的患者出现室上性心动过速。
Convuls Ther. 1994 Sep;10(3):228-31.
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Effect of esmolol pretreatment on EEG seizure morphology in RUL ECT.艾司洛尔预处理对右侧额叶电休克治疗中脑电图癫痫发作形态的影响。
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Combined alfentanil-methohexital anesthesia in electroconvulsive therapy.电休克治疗中阿芬太尼-美索比妥联合麻醉
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Left ventricular remodeling after pulmonary autograft replacement of the aortic valve (Ross operation).主动脉瓣自体肺动脉移植置换术后(罗斯手术)的左心室重塑。
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Possible effect of beta-blocker on the prevention of ventricular tachycardia during electroconvulsive therapy.β受体阻滞剂对预防电休克治疗期间室性心动过速的可能作用。
Psychiatry Clin Neurosci. 2008 Oct;62(5):623. doi: 10.1111/j.1440-1819.2008.01858.x.
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No early effects of electroconvulsive therapy on tryptophan metabolism and disposition in endogenous depression.电休克治疗对内源性抑郁症患者色氨酸代谢及分布无早期影响。
Biol Psychiatry. 1997 Aug 1;42(3):201-5. doi: 10.1016/S0006-3223(96)00336-8.

引用本文的文献

1
Electroconvulsive Therapy in an Elderly Patient with Severe Aortic Stenosis: A Case Report and Review of Literature.老年重度主动脉瓣狭窄患者的电休克治疗:病例报告及文献综述
Indian J Psychol Med. 2018 May-Jun;40(3):288-291. doi: 10.4103/IJPSYM.IJPSYM_152_17.
2
Electroconvulsive therapy in the medically ill.内科疾病患者的电休克治疗
Curr Psychiatry Rep. 2003 Jul;5(3):225-30. doi: 10.1007/s11920-003-0047-8.