Elektrokonvulzivní terapie (EKT)

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Autoři: Buday Jozef, Klírová Monika, Novák Tomáš

Garant: Buday Jozef

Oponent: Kašpárek Tomáš, Ustohal Libor

Vysvětlivky:
ovál - nadpis 
kosočtverec - výběr z více variant
přerušovaná čára - diagram pokračuje na další straně

Shrnutí

EKT je důležitou léčebnou modalitou v psychiatrii s vysokou účinností a rychlostí nástupu účinku. I navzdory této dosud nepřekonané účinnosti se však často používá jako metoda poslední volby. Zde je vhodné připomenout, že jedním ze závěrů studie STAR*D bylo, že pokud v léčbě pacientů selhaly dva farmakologické postupy, tak kombinovaná pravděpodobnost dosažení remise a její udržení na dobu 1 roku za pomoci 3. a 4. farmakologické intervence je méně než 5 % (22). Při vhodné indikaci je EKT bezpečnou metodou, která výrazně snižuje riziko suicidality. Udržovací aplikace m-EKT, zejména za ambulantních podmínek, výrazně snižuje riziko rehospitalizace a relapsu depresivní i psychotické symptomatiky.

Literatura

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Datum zveřejnění: 15.1.2023