Larsen J R, Hein L, Strömgren L S
Department of Biological Psychiatry, Risskov Psychiatric Hospital.
J ECT. 1998 Jun;14(2):109-14.
A case is presented in which a patient with ischemic heart disease developed episodic, nonsustained ventricular tachycardia (VT) during electroconvulsive therapy for major depression. The VT had a frequency of 200 beats/min and ceased spontaneously after 17 s. Altered autonomic discharge in the presence of ischemia is the probable cause. Predisposing factors, as well as management considerations, are discussed.
本文报告了一例缺血性心脏病患者在接受电休克治疗重度抑郁症期间发生阵发性、非持续性室性心动过速(VT)的病例。该室性心动过速频率为200次/分钟,17秒后自行终止。缺血情况下自主神经放电改变可能是其原因。文中讨论了诱发因素以及处理注意事项。