Delayed hypertension with electroconvulsive therapy.
A 74-year-old woman with essential hypertension underwent a course of electroconvulsive therapy (ECT) for the treatment of psychotic depression. Her treatments were associated with delayed and significant hypertension. Clonidine, which controlled her baseline blood pressure, was inadequate in treating her post-ECT hypertension. Acute treatment with hydralazine also failed. Labetalol, a short-acting beta-blocking agent with some alpha-1 blocking activity, worked well both acutely (intravenously) and orally to manage essential and ECT-induced hypertension.
Foster
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S
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle 98195.
Ries
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R
D000341:Affective Disorders, Psychotic / Q000150:complications / Q000628:therapy; D000368:Aged; D004565:Electroconvulsive Therapy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D007741:Labetalol / Q000627:therapeutic use; D013997:Time Factors
D007741:Labetalol