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Antipsychotic safety

A heart-rhythm check (ECG) on certain antipsychotics

If you start an antipsychotic that can affect heart rhythm, an ECG should be considered when you have risk factors.

81% of the time this step is missed

The silent should: If you start an antipsychotic that can affect heart rhythm, an ECG should be considered when you have risk factors.

In our analysis of de-identified U.S. psychiatric records, this step was missing 81% of the time it should have happened.

This page is information to help you ask questions — it is not medical advice, and you should never start, stop, or change a medication on your own. Bring these questions to your clinician.

Questions for your doctor the next time you see them

Copy a line and ask it — these are questions, never instructions to change treatment.

  • I'm starting an antipsychotic - given my history, should I have a heart-rhythm check (ECG) first?
  • Could this medicine affect my heart rhythm?

This page is informational and not medical advice. It describes care patterns across a population, not your situation. Bring these questions to a clinician who knows you.

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