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Published Online:https://doi.org/10.1176/ajp.127.4.530

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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