title: Influence of recurrent electroconvulsive therapy on cardiac function.
abstract: OBJECTIVE
  To investigate the effects of recurrent electroconvulsive therapy (ECT) on cardiac function as assessed by echocardiography.
  
  
  METHODS
  Twenty-three patients (11 males and 12 females) with different psychiatric disorders who were apparently free of any cardiovascular disorders and underwent ECT were enrolled in the study. Echocardiographic findings including diastolic mitral inflow and tissue Doppler features were recorded at baseline and at the end of the 7th and last ECT in all patients.
  
  
  RESULTS
  The mean age of the patients was 37.95 ± 13.28 years (range 19-71). There was no significant difference in mitral E wave velocities and tissue Doppler E' velocities between the baseline and after the 1st ECT (p = 0.161 and p = 0.083, respectively). The results were similar after the last ECT session (p = 0.463 and p = 0.310, respectively). However, there was a significant increase in transmitral A wave velocity after the 1st and 7th ECT session compared to the values at baseline (p = 0.008 and p = 0.017, respectively).
  
  
  CONCLUSIONS
  The mitral diastolic inflow A wave velocity increased 20 min after ECT, and this increase persisted after recurrent ECT sessions. This finding could be considered as an indicator of acutely increased sympathetic tone.
authors.affiliation: Department of Psychiatry, Gaziantep University, School of Medicine, Gaziantep, Turkey.
authors.forename: Gokay
authors.initials: G
authors.lastname: Alpak
authors.forename: Suleyman
authors.initials: S
authors.lastname: Ercan
authors.forename: Hayri
authors.initials: H
authors.lastname: Alici
authors.forename: Feridun
authors.initials: F
authors.lastname: Bulbul
authors.forename: Gokhan
authors.initials: G
authors.lastname: Altunbas
authors.forename: Demet
authors.initials: D
authors.lastname: Alici
authors.forename: Vahap
authors.initials: V
authors.lastname: Saricicek
authors.forename: Vedat
authors.initials: V
authors.lastname: Davutoglu
mesh_terms: D000328:Adult; D000368:Aged; D004452:Echocardiography; D004565:Electroconvulsive Therapy / Q000009:adverse effects*; D005260:Female; D006334:Heart Function Tests; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged
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