caa a22 4500 445373776 CHVBK 20180317142956.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00540-011-1166-8 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1166-8 A case of nonsustained ventricular tachycardia immediately following modified electroconvulsive therapy in a depressive patient [Elektronische Daten] [Yukari Koga, Yasunori Mishima, Masahiro Momozaki, Teruyuki Hiraki, Kazuo Ushijima] Modified electroconvulsive therapy (mECT) with the use of hypnotics and muscle relaxants is an optional and prevailing treatment for depression in patients who have failed on antidepressant regimens. We describe a patient who developed ventricular tachycardia (VT) immediately after mECT. A 64-year-old man with no remarkable past history underwent a course of mECT for drug-resistant depression. Anesthesia was induced with intravenous thiopental (150mg) followed by rocuronium (50mg). Three minutes after the administration of rocuronium, the brain was electrically stimulated using a pulse wave. The first mECT session was performed uneventfully. However, the second session 2days later elicited acute hypertension (182/134mmHg) and tachycardia (130bpm), resulting in the appearance of single and couplets of premature ventricular contractions on the electrocardiogram followed by VT lasting about 10s. The chest was immediately compressed several times, then normal sinus rhythm was spontaneously restored without administering antiarrhythmic agents. The patient recovered from anesthesia without complications. Postoperatively, close examination was unable to definitively determine the cause of VT, resulting in the cancellation of subsequent mECT sessions. It is important to bear in mind that mECT can induce life-threatening arrhythmias such as VT. Japanese Society of Anesthesiologists, 2011 Modified electroconvulsive therapy nationallicence Hypertension nationallicence Tachycardia nationallicence Arrhythmia nationallicence Ventricular tachycardia nationallicence Koga Yukari Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut Mishima Yasunori Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut Momozaki Masahiro Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut Hiraki Teruyuki Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut Ushijima Kazuo Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut Journal of Anesthesia Springer Japan 25/4(2011-08-01), 595-598 0913-8668 25:4<595 2011 25 540 https://doi.org/10.1007/s00540-011-1166-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1166-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Koga Yukari Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut NATIONALLICENCE 700 1- Mishima Yasunori Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut NATIONALLICENCE 700 1- Momozaki Masahiro Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut NATIONALLICENCE 700 1- Hiraki Teruyuki Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut NATIONALLICENCE 700 1- Ushijima Kazuo Department of Anesthesiology, Kurume University School of Medicine, 67 Asahi-machi, 830-0011, Kurume, Fukuoka, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/4(2011-08-01), 595-598 0913-8668 25:4<595 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer