电治疗对精神病患者前额QRS-T角度的影响
Ülker Atılan Fedai1, Halil Fedai2
1Harran University Faculty of Medicine, Department of Psychiatry, Şanlıurfa, Turkey.
Noro psikiyatri arsivi
|June 13, 2024
概括
电疗法 (ECT) 暂时增加了前部QRS-T角度,这是心脏事件的标志物. 然而,这种效果在24小时内恢复正常,这表明基于这种措施,ECT不会带来持久的心血管风险.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 电心电图是指心电图.
背景情况:
- 电疗法 (ECT) 是一种耐受良好的生物治疗,并发症风险低.
- 经过ECT后,已经记录了急性心血管并发症,包括心律失常和心肌梗塞.
- 额头QRS-T (fQRS-T) 角度升高与心室心律失常,突然心脏死亡和整体死亡率的风险增加有关.
研究的目的:
- 研究ECT对心肌状况的急性和短期影响.
- 在ECT后评估心电图 (ECG) 参数的变化,特别是fQRS-T角度,QRS持续时间和QT/QTc间隔.
主要方法:
- 研究了一组108名患有双相情感障碍,抑郁障碍或精神分裂症的患者进行ECT治疗.
- 所有患者在ECT前,ECT后15分钟和ECT后24小时记录了12表面ECG.
主要成果:
- 与基线相比,fQRS-T角度在ECT后15分钟显示了统计学上显著的增加 (p<0.001).
- 这种升高的fQRS-T角度在24小时的随访后显著下降 (p=0.031),恢复到与基线没有显著差异的水平 (p=0.154).
- 在整个研究期间,没有观察到QRS持续时间,QT间隔或更正的QT (QTc) 间隔的显著变化.
结论:
- ECT的使用导致fQRS-T角度的暂时但显著增加.
- 观察到的fQRS-T角的增加是暂时的,在治疗后24小时内,值恢复到基线水平.
- 这些发现表明,ECT似乎不会对心血管事件风险产生永久的不良影响,如fQRS-T角度所示.
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