Arritmia ventricular casi fatal asociada a uso de psicofármacos
| Autor: | Marvin Vargas-Alayo, José Amado-Tineo, Fernando Tazza-Quiroz |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Medicine (General)
medicine.medical_specialty business.industry Defibrillation Pulseless ventricular tachycardia medicine.medical_treatment fármacos del sistema nervioso central arritmias cardíacas efectos colaterales y reacciones adversas relacionadas a medicamentos QT interval Levomepromazine R5-920 Internal medicine medicine Cardiology Medicine General Earth and Planetary Sciences Levomepromazina business Hospital stay Advanced cardiopulmonary resuscitation Estancia hospitalaria General Environmental Science medicine.drug |
| Zdroj: | Anales de la Facultad de Medicina, Vol 80, Iss 3, Pp 346-9 (2019) |
| ISSN: | 1609-9419 1025-5583 |
| Popis: | espanolEl uso de psicofarmacos es cada vez mas frecuente por problemas emergentes como la depresion. Se presenta el caso de una mujer de 47 anos que recibia tratamiento antidepresivo (fluoxetina y levomepromazina) y fue llevada a emergencia por presentar en su domicilio trastorno de conciencia subito, evidenciandose durante su estancia hospitalaria dos episodios de taquicardia ventricular sin pulso que respondieron satisfactoriamente a desfibrilacion y reanimacion cardiopulmonar avanzada. Se comenta la prolongacion del intervalo QT asociada a uso de antidepresivos y antipsicoticos, asi como sus factores de riesgo. Finalmente se destaca la importancia de tener presente la relacion entre psicofarmacos y arritmias ventriculares potencialmente fatales, siendo necesario realizar un electrocardiograma a estos pacientes que consulten al servicio de emergencia. EnglishThe use of psychotropic drugs is increasingly frequent due to emerging problems such as depression. We present the case of a 47-year-old woman who received antidepressant treatment (fluoxetine and levomepromazine) and arrived at the emergency room because lost consciousness in her home, evidencing two episodes of pulseless ventricular tachycardia during her hospital stay that responded satisfactorily to defibrillation and advanced cardiopulmonary resuscitation. The prolongation of the QT interval associated with the use of antidepressants and antipsychotics, as well as their risk factors, is discussed. Finally, it is important to have on mind the relationship between psychotropic drugs and potentially fatal ventricular arrhythmias, making it necessary to perform an electrocardiogram to these patients who consult the emergency room. |
| Databáze: | OpenAIRE |
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