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The Telltale Heart or the Importance of the Tap Test in Electroconvulsive Therapy (ECT)

Popeo, Dennis M. MD; Pasculli, Rosa M. BA; Kellner, Charles H. MD

Journal of ECT:
doi: 10.1097/YCT.0b013e3182321249
Images in Clinical ECT

Abstract: The “Tap Test” is a maneuver used to test the functioning of the electroencephalogram and electromyogram leads just prior to electroconvulsive therapy. Here we present a brief case and image that reinforces the importance of this simple test.

Author Information

From the Mount Sinai School of Medicine, New York, NY.

Received for publication July 21, 2011; accepted July 26, 2011.

Reprints: Dennis M. Popeo, MD, Mount Sinai School of Medicine, New York, NY (e-mail:

Conflicts of Interest and Source of Funding: None of the authors have conflicts of interest to disclose. Dr Kellner and Dr Popeo currently receive grant support from the NIMH.

© 2012 by Lippincott Williams & Wilkins