title: Incessant non-sustained ventricular tachycardia after stimulus of electroconvulsive therapy with atropine premedication?
abstract: Electroconvulsive therapy (ECT) is an effective and safe treatment for a variety of neuropsychiatric disorders. Premedication with atropine has been recommended in order to avoid bradycardia and transient asystole induced by ECT. In contrast, some other arrhythmias can happen such as atrial flutter and fibrillation. But ventricular tachycardia is rare. Reported herein is a case of incessant non-sustained ventricular tachycardia, possibly triggered by atropine premedication.
authors.affiliation: Department of Anesthesiology, Nippon Medical School, Sendagi, Tokyo, Japan. ckim@nms.ac.jp
authors.forename: Chol
authors.initials: C
authors.lastname: Kim
authors.forename: Motoi
authors.initials: M
authors.lastname: Yokozuka
authors.forename: Chiyo
authors.initials: C
authors.lastname: Sato
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nakanishi
authors.forename: Akira
authors.initials: A
authors.lastname: Kitamura
authors.forename: Atsuhiro
authors.initials: A
authors.lastname: Sakamoto
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage / Q000009:adverse effects*; D001285:Atropine / Q000008:administration & dosage / Q000009:adverse effects*; D003865:Major Depressive Disorder / Q000628:therapy*; D004562:Electrocardiography / Q000187:drug effects; D004565:Electroconvulsive Therapy / Q000009:adverse effects*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D009025:Morpholines / Q000008:administration & dosage; D011229:Preanesthetic Medication / Q000009:adverse effects*; D012008:Recurrence; D019233:Retreatment; D017180:Tachycardia, Ventricular / Q000188:drug therapy / Q000209:etiology*; D014508:Urea / Q000008:administration & dosage / Q000031:analogs & derivatives; D018879:Ventricular Premature Complexes / Q000188:drug therapy / Q000209:etiology
chemical_list: D000319:Adrenergic beta-Antagonists; D000889:Anti-Arrhythmia Agents; D009025:Morpholines; C077049:landiolol; D001285:Atropine; D014508:Urea