Predictive value of blood pressure changes during drug modified ECT.
This was the second of two students of the theoretu cal and practical implications of systolic blood pre sure changes as related to ECT outcome. The theory specified that blood pressure changes following the administration of SC can signal that neurotransmitters are available for release during ECT, which is indicative of patient improvement potential. Whereas the first study concentrated on average chang during the final five treatments before treatment outcome evaluation, this second study concentrated on a detailed analysis of systolic change scores during the first five treatments of each ECT series. The patieent population of 89 cases overlapped that of the first study. Significant relationships were obtained between systolic change scores and treatment outcome which suggestted the possibility of improving the prediction of ECT outcome early in the treatment series. These findings would appear to be of sufficient potential value to warrant replication and validation on a separate patient population.
Krakowski
A J
AJ
Division of Psychiatric Liaison and Research, Champlain Valley Physicians Hospital Medical Center, Pattsburgh, NY, USA.
Rury
J L
JL
Felty
J
J
D001794:Blood Pressure / Q000187:drug effects*; D002395:Catecholamines / Q000097:blood; D003863:Depression / Q000097:blood / Q000503:physiopathology* / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008297:Male; D008959:Models, Neurological; D011237:Predictive Value of Tests; D013390:Succinylcholine; D013564:Sympathetic Nervous System / Q000503:physiopathology; D016896:Treatment Outcome
D002395:Catecholamines; D013390:Succinylcholine