期刊
PSYCHIATRIC CLINICS OF NORTH AMERICA
卷 39, 期 3, 页码 513-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.psc.2016.04.004
关键词
Electroconvulsive therapy; Adverse effects; Complications; Cognition; Risk factors
类别
Electroconvulsive therapy (ECT) is an effective treatment commonly used for depression and other major psychiatric disorders. We discuss potential adverse effects (AEs) associated with ECT and strategies for their prevention and management. Common acute AEs include headache, nausea, myalgia, and confusion; these are self-limiting and are managed symptomatically. Serious but uncommon AEs include cardiovascular, pulmonary, and cerebrovascular events; these may be minimized with screening for risk factors and by physiologic monitoring. Although most cognitive AEs of ECT are short-lasting, troublesome retrograde amnesia may rarely persist. Modifications of and improvements in treatment techniques minimize cognitive and other AEs.
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