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Electroconvulsive Therapy01:30

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Comment on Residual neuromuscular blockade following electroconvulsive therapy.

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Relapse Prevention After Successful ECT for Depression: The Role of Lithium and Continuation/Maintenance ECT.

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Updated: May 22, 2026

Electroconvulsive Seizures in Rats and Fractionation of Their Hippocampi to Examine Seizure-induced Changes in Postsynaptic Density Proteins
09:07

Electroconvulsive Seizures in Rats and Fractionation of Their Hippocampi to Examine Seizure-induced Changes in Postsynaptic Density Proteins

Published on: August 15, 2017

Electroconvulsive therapy (ECT) after pulmonary edema.

Ethan O Bryson, Dennis M Popeo, Charles H Kellner

    The Journal of ECT
    |May 25, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Pulmonary edema occurred after electroconvulsive therapy (ECT) in an elderly patient. Management with nitroglycerin, esmolol, and bilateral electrode placement allowed for successful ECT completion.

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    Published on: December 22, 2016

    Area of Science:

    • Neurology
    • Cardiology
    • Critical Care Medicine

    Background:

    • Electroconvulsive therapy (ECT) is an effective treatment for severe depression.
    • Comorbidities like hypertension require careful management during ECT.
    • Pulmonary edema is a rare but serious potential complication of ECT.

    Observation:

    • An 88-year-old male with controlled hypertension and treatment-refractory depression developed pulmonary edema post-ECT.
    • The patient experienced elevated blood pressures preceding the pulmonary edema.
    • No further complications arose during the remainder of the ECT course.

    Findings:

    • Pulmonary edema following ECT can be associated with significant blood pressure elevations.
    • Pharmacological interventions (nitroglycerin, esmolol) and modified electrode placement can manage ECT-induced complications.
    • Successful completion of ECT is achievable despite transient adverse events.

    Implications:

    • This case highlights the importance of vigilant cardiovascular monitoring during ECT, particularly in elderly patients with hypertension.
    • Prompt recognition and management of pulmonary edema are crucial for patient safety.
    • Adjustments in ECT procedures may be necessary to mitigate risks and ensure treatment continuity.