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The American Journal of Psychiatry, VOL. 127, No. 4

Articles | October 01, 1970

Cardiac Arrhythmias During Electroshock Therapy: Significance, Prevention, and Treatment

GERALD MCKENNA; RALPH P. ENGLE, JR.; HAROLD BROOKS; JAMES DALEN

Am J Psychiatry 1970;127:530-533.

Teaching fellow in psychiatry, Harvard Medical School, Cambridge, Mass., Massachusetts Mental Health Center, 74 Fenwood Rd., Boston, Mass. 02139

Lecturer in psychiatry, Harvard Medical School, Cambridge, Mass.

Instructor in medicine, Harvard Medical School, Cambridge, Mass.

Assistant professor of medicine, Peter Bent Brigham Hospital, Harvard Medical School, Cambridge, Mass.

1971, American Psychiatric Association

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Abstract

Respiratory acidosis and hypercapnia frequently accompany electroshock therapy (EST) and can be the cause of significant ventricular arrhythmias, which may have lethal sequelae in patients with coronary artery disease. The authors present measures to prevent these arrhythmias by hyperventilation with oxygen and ways to treat them if they occur.

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