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At least 487 records · Page 27Linked to original sources
PubMed1981

[The transesophageal approach to the heart in electrotherapy of tachycardia. II. Transesophageal cardioversion by means of direct current shock].

Electric experiments of cardioversion by means of direct current shock using special oesophagus electrodes were performed in 153 cases of various tachycardiac disturbances of rhythm. Here we succeeded in the conversion to the sinus rhythm in 86% of the patients with auricular flutter, in 84% of the cases with auricular fibrillation, in 3 of 4 patients with auricular tachycardias, in 10 patients with AV-junctional tachycardias without exception and in 5 of the 6 cases of ventricular tachycardias. Thus, the rate of an immediate success approximately corresponds to the conventional extrathoracic position of the electrodes. Here the smaller expenditure of energy with the possibility of an electrocardioversion also without anaesthesia as well as the readiness to the immediate electrostimulation in the case of an asystolia after cardioversion represent the essential advantages of the transoesophageal way. Despite the smaller rate of success on account of the smaller possibilities of complication, however, primarily transoesophageal stimulation techniques should be used (with the exception in auricular fibrillation), in which cases the use special oesophagus as in their failure following cardioversions by means of direct current shock transoesophageally through the same non-invasive approach. Moreover, the analysis of the oesophageally derivable ECG-potentials may facilitate the differentiation of the preexisting tachycardia.

Adult↗
PubMedDate not supplied

[Attitude of psychiatrists to electrotherapy].

Psychiatrists practising in South-Eastern regions of France answered a questionnaire whose objective was to evaluate the technical conditions of the use of electroconvulsivotherapy (ECT), and to ascertain the way in which this therapy affected the lives of the patients (ECT is currently experiencing a revival in neuropsychiatric literature). Among the 400 psychiatrists who gave a complete response to the questionnaire, 22 per cent stated that they use ECT to treat inpatients. The authors try to define a typology of ECT users and non-users. The technical and scientific pragmatism of users contrasts with the highest moral reasons of non-users, although the latter do not form an homogeneous group. Factorial analysis methods were used to describe these populations with the most accuracy. The statistical analysis shows 4 sub-groups of psychiatrists: ECT users (22%); those who will never treat their patients with ECT because of ethical considerations (16%); those who will only use ECT for very serious inpatients but do not as yet have any ECT equipment at their disposal (58%); and the persons uncommitted about the use of ECT (4%).

Attitude of Health Personnel↗
PubMedDate not supplied

American electrotherapy.

Explore the source record for details and available documents.

Electric Stimulation Therapy↗
PubMed1993

[Electrotherapy of supraventricular tachycardia (atrial fibrillation/atrial flutter)].

Contrary to patients with the WPW-syndrome and AV nodal reentry in whom radiofrequency catheter ablation is the therapy of first choice for cure from these arrhythmias instead of life-long medical therapy, pharmacologic therapy of atrial fibrillation and atrial flutter remains the treatment of choice in these patients. If, however, atrial fibrillation with rapid atrioventricular conduction is medically intractable and associated with severe haemodynamic impairment, these patients may be offered catheter ablation of AV conduction by radiofrequency energy. Compared to DC ablation, this approach is associated by an acceptable complication rate. Including the left ventricular approach in cases where it is not possible to ablate AV conduction using the venous approach, the success rate to achieve third degree AV block approaches 100%. With the development of temperature-controlled radiofrequency catheter ablation, a further reduction of side effects is anticipated. A disadvantage of this approach is the need for permanent pacemaker implantation (usually rate-adaptive VVI stimulation) after induction of complete AV block. Therefore, the advantage of normalization of ventricular rate by ablation of AV conduction has to be weighed against the risk of life-long pacemaker treatment for complete AV block in every patient. Patients with medically intractable typical atrial flutter may be offered the following alternative modes of electric treatment: selective ablation of the area of slow conduction sustaining circus movement in the right atrium underlying atrial flutter, by radiofrequency energy without interrupting AV conduction, implantation of a permanent antitachycardia pacemaker with electrodes positioned in the right atrium, radiofrequency catheter ablation of AV conduction.(ABSTRACT TRUNCATED AT 250 WORDS)

Atrial Fibrillation↗
PubMed1995

[Complete heart block treated with electrotherapy in a 30-year-old pregnant women with Kearns-Sayre syndrome].

Kearns-Sayre syndrome (KSS) is a form of mitochondrial myopathy in which specific clinical features, namely progressive external ophthalmoplegia, pigmentary retinal degeneration and onset before age 20 occur. It can also be associated with cardiac conduction defects, neurological and variety of endocrine and metabolic disorders. Recognition of mtDNA deletion as the genetic basis of KSS has confirmed the validity of clinical criteria. The purpose of the report is to describe a 30-year-old woman presenting typical clinical features of KSS. On muscle biopsy ragged red fibres and mitochondrial abnormalities on electron microscopy were seen. In spite of menstrual disturbances she became pregnant and delivered health child. In 30 week of pregnancy the VVI pacemaker was implanted because of syncope most probably related to paroxysmal complete heart block.

Adult↗
PubMed1977

A comparison of standard alternating current and low-energy brief-pulse electrotherapy.

This study compares a low-energy brief-pulse stimulus (LEBS) with a conventional a-c sine wave stimulus in terms of electrical paramenters, efficiency in producing seizures, and clinical outcome on a variety of standard behavioral measures. The results show the LEBS to require equal voltage, less current, and only one-half the total energy to produce clinically manifest convulsions. There was no apparent difference between methods on any outcome measure. The Halstead-Reitan Neuropsychological Test Battery showed as many patients impaired prior to ECT as following treatment. Implications for ECT practices are discussed.

Depression↗
PubMedDate not supplied

[Cryo- and electrotherapy in acute thrombophlebitis].

Combinations of cryotherapy with galvanization or alternating magnetic field (AMF), of cryogalvanization with AMF were used in 43 patients with acute thrombophlebitis. Within the first 3 days of treatment the response occurred more frequently in females. Positive effects of the above combinations were registered in patients of all ages. The remission persisted for 1-3 years. The treatment proved safe and pathogenetic. Cryoelectrotherapy is thought valid for therapeutic and prophylactic application in any cases of acute thrombophlebitis and chronic venous insufficiency of the legs.

Acute Disease↗
PubMed1996

[The electrotherapy of the arrhythmias in 3 cases of myotonic dystrophy (Steinert's disease)].

Myotonic dystrophy is a progressive multisystem disease with autosomal dominant inheritance. Cardiac involvement is an integral part of the disorder, the most prominent manifestations being various conduction defects and rhythm disturbances sometimes related to syncope or sudden cardiac death. We describe 3 cases admitted to our Centres. Two patients received a permanent pacemaker for atrioventricular block of different degree and in the third case an implantable cardioverter defibrillator with antibradycardia pacing was inserted for malignant ventricular tachyarrhythmias and advanced atrioventricular block during atrial flutter.

Adult↗