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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early years,...
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Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
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An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and the T...

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Updated: Jul 12, 2026

Simultaneous EEG Monitoring During Transcranial Direct Current Stimulation
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Published on: June 17, 2013

Prolonged and fluctuating giant T-wave inversion after electroconvulsive therapy.

Masanobu Ito1, Kotaro Hatta, Koichi Miyakawa

  • 1Department of Psychiatry, Juntendo University School of Medicine, Tokyo, Japan. masa110@med.juntendo.ac.jp

The Journal of ECT
|September 7, 2007
PubMed
Summary

Electroconvulsive therapy (ECT) can cause T-wave inversion, a cardiac anomaly, in patients with severe depression. This effect may be exacerbated by additional stressors like gallbladder stone pain.

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Area of Science:

  • Cardiology
  • Neurology
  • Psychiatry

Background:

  • Electroconvulsive therapy (ECT) is a treatment for severe depression.
  • Cardiac monitoring is crucial during ECT due to potential cardiovascular effects.

Observation:

  • A 76-year-old woman developed T-wave inversion after her third ECT session.
  • The T-wave inversion recurred weeks later, coinciding with gallbladder stone pain.

Findings:

  • Giant T-wave inversion appeared after the third ECT treatment, persisting for 4 months.
  • Exaggerated sympathetic stimulation from ECT may induce a cardiomyopathy-like state.
  • Gallbladder stone pain potentially exacerbated the cardiac condition.

Implications:

  • ECT-induced T-wave inversion may be linked to sympathetic overstimulation.
  • Comorbid conditions and pain can influence ECT's cardiac side effects.
  • Further research is needed to understand and manage ECT-related cardiac events.