Infarction and Coronary Insufficiency During Electroconvulsive Therapy

Paul H. Blachly, MD
JAMA. 1968;206(1):135. doi:10.1001/jama.1968.03150010082033.
Text Size: A A A
Published online

To the Editor:—  The interesting article by Drs. Hussar and Pachter draws our attention to the following newer findings and techniques not mentioned:

  1. Complete paralysis of the patient with succinylcholine and continuous ventilation with oxygen during the seizure as monitored by a cathode ray oscilloscope in the operating room decreases the likelihood of triggering a cardiac arrhythmia by hypoxia and alerts one for active intervention should a cardiac irregularity of serious import develop during the treatment.1-4

  2. The continuous ventilation during the seizure prevents the build-up of carbon dioxide which may raise blood pressure unduly.

  3. The presence of a cardiac defibrillator in the room or quickly available permits the active correction of certain cardiac arrhythmias if the electrocardiogram is monitored during the procedure.

  4. The use of atropine administered intravenously shortly before the treatment rather than administering it subcutaneously prevents errors in administration by nonphysicians. The monitoring of


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.