Early and prolonged ECG alterations resembling a myocardial injury after severe amitriptyline poisoning

Autor:	Berlot, G, Vergolini, A, Calderan, C
Jazyk:	angličtina
Rok vydání:	2010
Předmět:	myocardial infarction tricyclic antidepressant poisoning Case-Report amitriptylin overdose ECG abnormalities
Zdroj:	HSR Proceedings in Intensive Care & Cardiovascular Anesthesia
ISSN:	2037-0512 2037-0504
Popis:	Evidence of cardiovascular toxicity is present in the majority of tricyclic antidepressant overdoses. We report the case of a 63-year-old woman admitted to our department with a severe amitriptyline poisoning. The ECG at admission showed a pattern mimicking an acute anteroseptal subepicardial infarction. This pattern persisted for 11 days. Myocardial enzymes and echocardiographic findings never confirmed an ischemic event. At discharge, the ECG returned normal without cardiac or neurologic sequelae. Our experience suggest that after severe tricyclic antidepressant ingestion, ECG alterations resembling myocardial injury may occur early and last for a longer period than previously reported.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::20190e3eb8d1c2183666038eca8bb7dd http://europepmc.org/articles/PMC3484585 Zobrazit plný text záznamu