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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by poser938 on June 7, 2014, at 1:40:00
And ive a question. not sure if anyone on hete will know.
but, i often have high blood pressure. like 150 over some other high number (cant remember at the moment), and my BP was high when i has my Consultation at Vanderbilt last week. the nurse was concerned and the doc i talked to was a bit concerned as well.
but, if my BP is high when i go to have ECT done Monday, that wouldnt be contraindacated with ECT would it? And it wouldnt cause them to think ECT might be unsafe for me until my BP is lower, would it?
Posted by Phillipa on June 7, 2014, at 9:38:16
In reply to ECT Monday morning, posted by poser938 on June 7, 2014, at 1:40:00
I don't know what did they tell you there? Phillipa
Posted by poser938 on June 7, 2014, at 10:48:44
In reply to Re: ECT Monday morning » poser938, posted by Phillipa on June 7, 2014, at 9:38:16
They basically just asked if my BP is usually that high.
i guess im just being nervous and hoping everything goes well. But its just that i had read how your BP can fluctuate during ECT.
Posted by tom2228 on June 7, 2014, at 10:53:32
In reply to Re: ECT Monday morning, posted by poser938 on June 7, 2014, at 10:48:44
> They basically just asked if my BP is usually that high.
>
> i guess im just being nervous and hoping everything goes well. But its just that i had read how your BP can fluctuate during ECT.not sure as to your question but I know being in the doc's office has made my bp abnormally high it is usually 105-110/70 and last appointment it was 130/75. Guess I was nervous b/c the doc is checking up on the safety of the MAOI + TCA + stimulant combination for me and the last thing I want is any complications as it's working.
Posted by SLS on June 7, 2014, at 12:34:44
In reply to ECT Monday morning, posted by poser938 on June 7, 2014, at 1:40:00
Atropine - often used during ECT to inhibit muscle contraction - can increase systolic (top number) blood pressure to some degree.
- Scott
Posted by SLS on June 7, 2014, at 13:01:18
In reply to Re: ECT Monday morning » poser938, posted by SLS on June 7, 2014, at 12:34:44
> Atropine - often used during ECT to inhibit muscle contraction - can increase systolic (top number) blood pressure to some degree.
Sorry. I misspoke. Atropine is given to prevent cardiac dysrhythmias and inhibit salivation.
- Scott
Posted by poser938 on June 7, 2014, at 13:13:39
In reply to Re: ECT Monday morning, posted by SLS on June 7, 2014, at 13:01:18
http://www.ncbi.nlm.nih.gov/m/pubmed/6115051/
and heres an article saying atropine can lower BP
Abstract The hypotensive effect of atropine sulfate was evaluated in conscious, unanesthetized hypertensive rats (spontaneously hypertensive rats and Sprague-Dawley rats made hypertensive by s.c. implantation of deoxycorticosterone acetate, tablets) and their respective normotensive controls. In all animals, atropine (5-50 mg/kg i.v.) caused an immediate and dose-dependent decrease in blood pressure. However, the hypotensive response was of greater magnitude and of longer duration in the hypertensive rats. Pretreatment of the animals with phentolamine prevented the hypotension by atropine. Plasma concentrations of atropine were determined by radioimmunoassay and were identical in both hypertensive and normotensive rats. Atropine blocked the pressor responses to norepinephrine and shifted the dose-response curve for norepinephrine to the right to a similar extent in spontaneously hypertensive and Wistar-Kyoto rats. Thus, atropine acts as a competitive antagonist of norepinephrine and this action underlies its hypotensive effect. The greater responsiveness of hypertensive rats is not due to a difference in pharmacokinetic handling of atropine nor to a greater degree of blockade of the norepinephrine pressor response in vivo, but may result from the altered sympathetic tone in the hypertensive rats. Atropine may, in addition to its action on alpha adrenergic receptors, affect other systems such as calcium handling. It is speculated that an effect on this system may contribute to the longer duration of response seen in hypertensive rats.
Posted by poser938 on June 7, 2014, at 13:22:04
In reply to Re: ECT Monday morning, posted by poser938 on June 7, 2014, at 13:13:39
So, maybe if my BP is higher than they like, then they could give me a dose of something to lower it. Or if they give me the routine dose of Atropine, then it could lower my high BP.
my psychiatrist did prescribe Clonidine for sleep and to lower my Blood Pressure this past Thursday (1/2 a pill at night, whole pill in the day) but im nervous to go ahead and take it. ive had bad experiences with meds that calm the nervous system. antihistamines and benzos make me feel much more horrible than i already do. and id like to have a good weekend before i do ECT.
Posted by SLS on June 7, 2014, at 15:32:28
In reply to Re: ECT Monday morning, posted by poser938 on June 7, 2014, at 13:13:39
Systolic or diastolic?
From what I read, systolic goes up and diastolic goes down. Systolic would be the more critical measurement, I would think.
Phentolamine prevented hypotension?
Interesting study.
Anyway, like I said, the effect of atropine on blood pressure is not of great magnitude. However, cardiovascular effects can get complicated after a seizure.
- Scott
Posted by Phillipa on June 7, 2014, at 20:29:02
In reply to Re: ECT Monday morning » poser938, posted by SLS on June 7, 2014, at 15:32:28
If getting anesthesia the anesthesiologist can control blood pressure. Also systolic is what rises during extreme stress and nervousness. So have white coat syndrome go into a docs and it rises. Diastolic is the force of blood against the arteries when the heart pumps blood down through the ventricles to the aorta and the more critical number. At least it is under normal circumstances. As for ect could be different. Phillipa
Posted by Phillipa on June 7, 2014, at 20:35:26
In reply to Re: ECT Monday morning » SLS, posted by Phillipa on June 7, 2014, at 20:29:02
http://www.mayoclinic.org/tests-procedures/electroconvulsive-therapy/basics/definition/prc-20014161
Posted by poser938 on June 7, 2014, at 21:52:04
In reply to Re: ECT Monday morning, posted by Phillipa on June 7, 2014, at 20:35:26
Thank you Phillipa. the site mentioned that do an ECG. to check the health of your heart. ive never had any heart problems, so maybe things will be fine.
i'll just keep my fingers crossed and even though ive not really been able to feel that God is there, i'll be praying.
If ECT works for me it will be the best thing in the world that could possibly happen for me. not even 400 million in the lottery could compare. ive just had something taken from me that cant be replaced or made up for. and i doubt i'll be able to sleep tomorrow night since im having ECT in the morning. so i plan to be staying up.
Posted by Phillipa on June 7, 2014, at 22:21:14
In reply to Re: ECT Monday morning, posted by poser938 on June 7, 2014, at 21:52:04
Try and sleep late tomorrow or nap and the very best of success and luck to you. Will be thinking of you!!!! Phillipa
Posted by herpills on June 8, 2014, at 18:22:57
In reply to Re: ECT Monday morning, posted by poser938 on June 7, 2014, at 21:52:04
Good luck, you deserve to feel better. herpills
Posted by poser938 on June 8, 2014, at 21:01:28
In reply to Re: ECT Monday morning » poser938, posted by herpills on June 8, 2014, at 18:22:57
Thank you :)
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