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Updated: Feb 25, 2026

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
Published on: April 11, 2019
EFFECTS OF ELECTROCONVULSIVE THERAPY ON CARDIOVASCULAR SYSTEM.
1Classified Specialist (Psychiatry). Military Hospital, Meerut 250 001.
Electroconvulsive therapy (ECT) can cause temporary increases in pulse rate and blood pressure. These cardiovascular changes, along with some arrhythmias and ST-T changes, resolved quickly after the procedure.
Area of Science:
- Cardiovascular Physiology
- Neuroscience
- Psychiatry
Background:
- Electroconvulsive therapy (ECT) is a medical treatment most often used for patients with severe major depression or bipolar disorder that has not responded to other treatments.
- Understanding the physiological impact of ECT is crucial for patient safety and management.
Purpose of the Study:
- To investigate the acute effects of electroconvulsive therapy (ECT) on cardiovascular parameters.
- To assess changes in pulse rate, blood pressure, and electrocardiogram (ECG) during and after ECT.
Main Methods:
- Studied forty physically healthy inpatients undergoing ECT for psychiatric conditions.
- Monitored pulse rate, blood pressure, and ECG before, during, and after ECT sessions.
Main Results:
- Frequent occurrences of tachycardia (elevated pulse rate) and hypertension (elevated blood pressure) were observed.
- Electrocardiogram (ECG) revealed sinus arrhythmias, atrial and ventricular premature beats, and minor ST-T wave changes.
- All observed cardiovascular and ECG changes were transient, reversing within thirty minutes post-ECT.
Conclusions:
- ECT induces transient cardiovascular and electrophysiological changes in healthy inpatients.
- These physiological effects are generally short-lived and resolve rapidly after treatment cessation.
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