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  1. Dokkyo Medical Journal
  2. 2(2) 2023

Effect of Remifentanil on Cardiac Autonomic Activity Changes during Electroconvulsive Therapy: A Randomized Controlled Trial

https://dmu.repo.nii.ac.jp/records/2000047
https://dmu.repo.nii.ac.jp/records/2000047
dbbcbb49-9c76-47b8-a645-733de290806e
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DKMJ-2-1-8.pdf DKMJ-2-1-8.pdf (186 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Effect of Remifentanil on Cardiac Autonomic Activity Changes during Electroconvulsive Therapy: A Randomized Controlled Trial
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Autonomic nervous system
キーワード
言語 en
主題Scheme Other
主題 Electroconvulsive therapy
キーワード
言語 en
主題Scheme Other
主題 Heart Rate Variability
キーワード
言語 en
主題Scheme Other
主題 Remifentanil
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Akutsu, Kazuya

× Akutsu, Kazuya

en Akutsu, Kazuya

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Shimizu, Takahito

× Shimizu, Takahito

en Shimizu, Takahito

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Hamaguchi, Shinsuke

× Hamaguchi, Shinsuke

en Hamaguchi, Shinsuke

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Yamaguchi, Shigeki

× Yamaguchi, Shigeki

en Yamaguchi, Shigeki

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Takasusuki, Toshifumi

× Takasusuki, Toshifumi

en Takasusuki, Toshifumi

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Asahi, Kimihiko

× Asahi, Kimihiko

en Asahi, Kimihiko

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書誌情報 en : Dokkyo Medical Journal

巻 2, 号 2, p. 158-163, 発行日 2023-06-25
記事種別
値 Original
内容記述
内容記述タイプ Abstract
内容記述 Electroconvulsive therapy (ECT) leads to remarkable hemodynamic changes. Heart rate variability (HRV), which comprises high frequency (HF) or low frequency (LF), is an index of cardiac autonomic regulation. In the present study, we examined the effects of remifentanil on HRV changes during ECT. After obtaining approval from the ethics committee of Dokkyo Medical University Hospital, we randomly allocated 42 patients who were scheduled to undergo ECT with American Society of Anesthesiologists physical status I or II to group R (n = 21), which received remifentanil (1 μg/kg) as pretreatment, or group C (n = 21), which did not receive pretreatment. After the induction of general anesthesia, we recorded the LF/HF ratio and HF ratio every minute during ECT. Statistical analysis was performed using two-way analysis of variance. Immediately (T0) and 1 min (T1) after convulsion, heart rate, systolic and diastolic blood pressures were significantly lower in group R than in group C. The LF/HF ratio in group R was significantly lower than that in group C (group C: T0; 28.6 ± 24.3, T1; 20.1 ± 18.6, group R: T0; 16.1 ± 9.7, T1; 11.2 ± 9.9, p < 0.05). No significant difference was noted in the HF ratio between both groups. Pretreatment with remifentanil suppresses hemodynamic and cardiac autonomic activity changes during electroconvulsive therapy.
言語 en
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ EISSN
収録物識別子 2436-522X
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12941861
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2022-068
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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