Neurologische, neuromusculaire en psychiatrische pathologie
Neurologische, neuromusculaire en psychiatrische pathologie
Neurologische, neuromusculaire en psychiatrische pathologie
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Physiological Consequ<strong>en</strong>ces of<br />
Electroconvulsive Therapy(I)<br />
Cardiovascular effects<br />
– Immediate: Parasympathetic stimulation (Tonic phase)<br />
» Bradycardia, v<strong>en</strong>tricular escape, PVC<br />
» Hypot<strong>en</strong>sion,<br />
» Asystole (rare)<br />
– Late (after 1 minute): Sympathetic stimulation (Clonic phase)<br />
» Tachycardia ( ↑ 21 - 115%)<br />
» Hypert<strong>en</strong>sion<br />
» Dysrhythmias: P A/V C, bi-trigeminy<br />
↑<br />
↑<br />
Cardiac output<br />
Myocardial oxyg<strong>en</strong> consumption
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