Ictal electroencephalography and heart rate as treatment criteria in electroconvulsive therapy: a systematic review of the literature.
Isaak Dilopoulos, Thomas Nickl-Jockschat, Michael Grözinger
✦ AI-curated · Sources linked
In 30 seconds
This systematic review evaluated the prognostic value of ictal electroencephalography (EEG) and heart rate in predicting outcomes of electroconvulsive therapy (ECT) in patients with depression. The analysis included 37 studies, revealing that heart rate and composite markers were consistently associated with better treatment outcomes, unlike single EEG markers. The study highlights the need for more randomized trials to further explore these relationships.
Key findings
- Heart rate and composite markers were consistently linked to better outcomes in depression patients.
- Single EEG markers were categorized into five groups but did not show the same predictive value.
- Only a few studies on schizophrenia were identified, indicating limited evidence in this area.
- Multiparametric markers outperformed single markers in predicting ECT outcomes.
Why it matters
Understanding the relationship between EEG and heart rate during ECT can enhance treatment personalization and potentially improve patient outcomes. This knowledge may guide clinicians in optimizing ECT protocols.