BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation
Volume 4, Issue 1 , Pages 43-45 , January 2011

Cardiovascular safety of the method of limits titration procedure for electroconvulsive therapy dosing: a retrospective study

  • Celso Ricardo Bueno

      Affiliations

    • Psychiatric Institute, University of Sao Paulo, Sao Paulo, SP, Brazil
    • ,
  • Marina O. Rosa

      Affiliations

    • University of Columbia, New York State Psychiatric Institute, Division of Brain Stimulation and Therapeutic Modulation, New York, New York
    • ,
  • Demetrio O. Rumi

      Affiliations

    • Psychiatric Institute, University of Sao Paulo, Sao Paulo, SP, Brazil
    • ,
  • Rafael B. Ribeiro

      Affiliations

    • Psychiatric Institute, University of Sao Paulo, Sao Paulo, SP, Brazil
    • ,
  • Moacyr A. Rosa

      Affiliations

    • University of Columbia, New York State Psychiatric Institute, Division of Brain Stimulation and Therapeutic Modulation, New York, New York
    • Corresponding Author InformationCorrespondence: Moacyr A. Rosa, University of Columbia, New York State Psychiatric Institute, Division of Brain Stimulation and Therapeutic Modulation, 1051 Riverside Drive, Unit 21, Kolb Annex, Room 478, New York, NY 10032.

Received 14 December 2009 ,Revised 19 January 2010 ,Accepted 2 February 2010.

References 

  1. Abrams R. Electroconvulsive therapy. 4th ed.. New York: Oxford University Press; 2002;
  2. Swartz C. Stimulus dosing in electroconvulsive therapy and the threshold multiple method. J ECT. 2001;12(2):87–90
  3. Sackeim HA, Decina P, Kanzler M, et al. Effects of electrode placement on the efficacy of titrated low-dose ECT. Am J Psychiatry. 1987;144:1449–1455
  4. Sackeim HA, Prudic J, Devanand DP, et al. Effects of stimulus intensity and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy. N Engl J Med. 1993;328:839–846
  5. Sackeim HA, Prudic J, Devanand DP, et al. A prospective, randomized, double-blind comparison of bilateral and right unilateral electroconvulsive therapy at different stimulus intensities. Arch Gen Psychiatry. 000;57(5):425-434.
  6. The practice of electroconvulsive therapy: recommendations for treatment, training, and privileging. 2nd ed. Washington, DC: American Psychiatric Association; 2001;
  7. Tiller JW, Ingram N. Seizure threshold determination for electroconvulsive therapy: stimulus dose titration versus age-based estimations. Aust N Z J Psychiatry. 2006;40(2):188–192
  8. Welsh CA, Drop LJ. Cardiovascular effects of ECT. Convus Ther. 1989;5:35–43
  9. Agelink MM, Zeit T, Klieser E. Prolonged bradycardia complicates antidepressive treatment with venlafaxine and ECT. Br J Psychiatry. 1998;173:441
  10. Lyons JE, Symon J. Asystole during electroconvulsive therapy in an elderly woman treated concomitantly with venlafaxine. Aust N Z J Psychiatry. 2008;42(3):255

PII: S1935-861X(10)00018-5

doi: 10.1016/j.brs.2010.02.001

BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation
Volume 4, Issue 1 , Pages 43-45 , January 2011

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