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Table 2 Ictal parameters and cardiovascular response in electroconvulsive therapy

From: Two-handed facemask technique effectively causes hyperventilation in electroconvulsive therapy: an observational study

Variables

One-handed group

Two-handed group

P value

Ictal parameters

 Motor seizure duration, sec

35.1 ± 13.5

41.2 ± 14.7

0.233

 EEG seizure duration, sec

67.5 ± 43.4

62.5 ± 30.7

0.865

 Stimulation dose, %

60.8 ± 30.0

62.5 ± 27.1

0.952

 Ictal EEG characteristics

  Regularity (0–6)

4 (3.75–5)

5 (5–6)

<  0.001*

  Postictal suppression (0–3)

2 (2–2)

2 (2–2)

0.103

  Activation of the sympathetic nervous system (0–1)

1 (1–1)

1 (1–1)

1.000

Cardiovascular parameters

 Baseline values before anesthetics

  SBP, mmHg

136.4 ± 19.9

142.3 ± 23.3

0.411

  DBP, mmHg

74.5 ± 12.7

80.0 ± 11.1

0.057

  MBP, mmHg

95.1 ± 13.6

100.8 ± 14.0

0.092

  HR, bpm

98.0 ± 18.3

87.8 ± 22.3

0.065

  SpO2, %

98.9 ± 1.7

97.7 ± 1.6

0.002*

  ST, mV

0.045 ± 0.080

0.064 ± 0.062

0.493

 After ECT seizure

  SBP, mmHg

194.1 ± 27.8

183.0 ± 27.1

0.262

  DBP, mmHg

102.8 ± 23.2

103.9 ± 18.3

0.945

  MBP, mmHg

133.2 ± 21.8

130.3 ± 19.7

0.622

  HR, bpm

132.5 ± 17.0

121.2 ± 17.8

0.075

  SpO2, %

95.2 ± 7.6

99.9 ± 0.3

0.024*

  ST, mV

−0.033 ± 0.078

0.022 ± 0.063

0.030*

 In the recovery area

  SBP, mmHg

149.1 ± 25.9

131.1 ± 16.5

0.027*

  DBP, mmHg

75.4 ± 13.4

67.8 ± 7.9

0.080

  MBP, mmHg

100.0 ± 16.5

88.9 ± 9.7

0.034*

  HR, bpm

114.5 ± 16.6

91.6 ± 13.3

< 0.001*

  SpO2, %

98.3 ± 1.8

99.5 ± 0.7

0.029*

  1. Data are mean ± standard deviation and median (IQR; 25–75% interquartile range)
  2. *significant difference, ECT Electroconvulsive therapy, EEG Electroencephalography, SBP Systolic blood pressure, DBP Diastolic blood pressure, MBP Mean blood pressure, HR Heart rate, SpO2 Peripheral oxygen saturation, ST ST-segment change on electrocardiogram in lead II