Incessant non-sustained ventricular tachycardia after stimulus of electroconvulsive therapy with atropine premedication?
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.
Kim
Chol
C
Department of Anesthesiology, Nippon Medical School, Sendagi, Tokyo, Japan. ckim@nms.ac.jp
Yokozuka
Motoi
M
Sato
Chiyo
C
Nakanishi
Kazuhiro
K
Kitamura
Akira
A
Sakamoto
Atsuhiro
A
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
D000319:Adrenergic beta-Antagonists; D000889:Anti-Arrhythmia Agents; D009025:Morpholines; C077049:landiolol; D001285:Atropine; D014508:Urea