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A case of malignant catatonia with idiopathic pulmonary arterial hypertension treated by electroconvulsive therapy

Overview of attention for article published in BMC Psychiatry, May 2016
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Title
A case of malignant catatonia with idiopathic pulmonary arterial hypertension treated by electroconvulsive therapy
Published in
BMC Psychiatry, May 2016
DOI 10.1186/s12888-016-0835-4
Pubmed ID
Authors

Mizue Hobo, Akihito Uezato, Mitsunori Nishiyama, Mayumi Suzuki, Jiro Kurata, Koshi Makita, Naoki Yamamoto, Toru Nishikawa

Abstract

Idiopathic pulmonary arterial hypertension (IPAH) is a progressive and fatal cardiovascular disease if left untreated. In patients with IPAH with psychiatric illness or other complications, careful attention is required when administering medical therapies that may affect their hemodynamics. Patients suffering from IPAH who undergo anesthesia and surgery have a high mortality and morbidity rate. We describe the treatment of intractable psychiatric symptoms with electroconvulsive therapy (ECT) in a patient with IPAH. A 23-year-old woman with IPAH and type I diabetes mellitus (DM) presented with malignant catatonia. Her heart function was classified as New York Heart Association (NYHA) class III. She required a rapid cure and ECT due to various psychiatric symptoms resistant to conventional medications. Pulmonary hypertensive (PH) crisis is the most concerning complication that can be induced by the sympathetic stimulation of ECT. To avoid PH crisis, we administered oxygen using a laryngeal mask and administered remifentanil for anesthesia. We also prepared standby nitric oxide for possible PH crisis, although it was ultimately not needed. With 14 ECT sessions, her malignant catatonia was ameliorated without physical complications. ECT is an acceptable option for the treatment of medication-refractory psychiatric disturbances in patients with IPAH, provided careful management is assured to prevent or address complications.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 70 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 17%
Student > Bachelor 11 16%
Researcher 9 13%
Student > Doctoral Student 7 10%
Other 6 9%
Other 12 17%
Unknown 13 19%
Readers by discipline Count As %
Medicine and Dentistry 35 50%
Psychology 8 11%
Nursing and Health Professions 5 7%
Neuroscience 4 6%
Biochemistry, Genetics and Molecular Biology 1 1%
Other 2 3%
Unknown 15 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 May 2016.
All research outputs
#15,372,369
of 22,869,263 outputs
Outputs from BMC Psychiatry
#3,385
of 4,698 outputs
Outputs of similar age
#179,115
of 298,725 outputs
Outputs of similar age from BMC Psychiatry
#72
of 114 outputs
Altmetric has tracked 22,869,263 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,698 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.9. This one is in the 21st percentile – i.e., 21% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 298,725 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 114 others from the same source and published within six weeks on either side of this one. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.