Tijdschrift voor Psychiatrie vol:51 issue:1 pages:43-51
Electroconvulsive therapy (ect) is an effective treatment for severe psychiatric disorders, such as mood disorders and schizophrenia. ect is a safe treatment, even in the presence of somatic comorbidity. There are no absolute contraindications to ect, although a few somatic conditions can constitute an increased risk. ect causes a transient increase in blood pressure and heart rate and an increase in cerebral blood flow. In the presence of intracranial vascular malformations such as aneurysms, these haemodynamic changes can, in theory, increase the risk of bleeding.