Psychiatr. pro Praxi, 2010; 11(1): 22-24
News in electroconvulsive therapy
- Psychiatrická klinika, UK v Praze, LF v Hradci Králové a FN Hradec Králové
- Elektrokonvulzivní terapie (EKT) je v léčbě duševních poruch využívána již sedm desítek let. Ani za tuto dobu však neztratila na své účinnosti
Electroconvulsive therapy (ECT) has already been used in the treatment of mental disorders for seven decades. ECT has not even lost its
efficacy and topicality in this period of time. The newest knowledge on electroconvulsive treatment published in reputable international
professional journals in 2009 is summed up in this review. ECT is suitable to treat pharmacoresistant schizophrenia, where it can even
reinduce previously lost treatment response to psychotropic drugs. ECT is also efficient in comorbid obsessive-compulsive symptoms.
There is no sense to be afraid of applying ECT even in a depression with serious physical comorbidity in a geriatric patient, as shown in
one case report. Serious, psychotic, and pharmacoresistant depressions remain basic indications for ECT. Electroconvulsions may also
be used in neurological indications, e. g. Parkinson´s disease. Possible augmentative strategies as well as procedures to avoid adverse
effects, mostly cardiovascular ones, are recently studied in ECT research.
Keywords: electroconvulsive therapy, depression, schizophrenia, adverse effects
Published: January 1, 2010 Show citation
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