Electroconvulsive therapy is extremely effective and is the fastest acting
antidepressant treatment now available, although not necessarily limited to
use with depression. Despite years of experience with this technique and i
ts unparalleled successes, patients continue to be affected by mostly trans
ient, but sometimes impairing side effects from memory problems and cardiov
ascular changes associated with ECT treatments. Nausea, headache, muscle ac
hes, and other side effects that have been referenced in the literature and
clinical experience will also be discussed in this review. Helpful literat
ure with recommendations on minimizing the risks of these side effects and
improving the tolerability of the electroconvulsive treatments will also be
presented. (C) 2000 Wiley-Liss, Inc.