Incessant non-sustained ventricular tachycardia after stimulus of electroconvulsive therapy with atropine premedication?

Psychiatry Clin Neurosci. 2007 Oct;61(5):564-7. doi: 10.1111/j.1440-1819.2007.01708.x.

Abstract

Electroconvulsive therapy (ECT) is an effective and safe treatment for a variety of neuropsychiatric disorders. Premedication with atropine has been recommended in order to avoid bradycardia and transient asystole induced by ECT. In contrast, some other arrhythmias can happen such as atrial flutter and fibrillation. But ventricular tachycardia is rare. Reported herein is a case of incessant non-sustained ventricular tachycardia, possibly triggered by atropine premedication.

MeSH terms

  • Adrenergic beta-Antagonists / administration & dosage
  • Anti-Arrhythmia Agents / administration & dosage
  • Anti-Arrhythmia Agents / adverse effects*
  • Atropine / administration & dosage
  • Atropine / adverse effects*
  • Depressive Disorder, Major / therapy*
  • Electrocardiography / drug effects
  • Electroconvulsive Therapy / adverse effects*
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Morpholines / administration & dosage
  • Preanesthetic Medication / adverse effects*
  • Recurrence
  • Retreatment
  • Tachycardia, Ventricular / drug therapy
  • Tachycardia, Ventricular / etiology*
  • Urea / administration & dosage
  • Urea / analogs & derivatives
  • Ventricular Premature Complexes / drug therapy
  • Ventricular Premature Complexes / etiology

Substances

  • Adrenergic beta-Antagonists
  • Anti-Arrhythmia Agents
  • Morpholines
  • landiolol
  • Atropine
  • Urea