Novel Presentation of Cardiotoxicity and Other Complications in Tricyclic Antidepressant Poisoning

被引：2

作者：

Hiep Nguyen ^{[1
]}

Kidron, Ariel ^{[2
]}

Ghildyal, Christopher ^{[1
]}

Veluri, Shriya ^{[3
]}

Nghi Nguyen ^{[4
]}

Quan Nguyen ^{[5
]}

Hoang Nguyen ^{[6
]}

机构：

[1] Nova Southeastern Univ, Kiran C Patel Coll Osteopath Med, Osteopath Med, Ft Lauderdale, FL 33314 USA

[2] Nova Southeastern Univ, Kiran C Patel Coll Osteopath Med, Emergency Med, Ft Lauderdale, FL 33314 USA

[3] Univ Texas Dallas, Sch Interdisciplinary Studies, Richardson, TX 75083 USA

[4] Univ St Thomas, Med, Houston, TX 77006 USA

[5] Nova Southeastern Univ, Dr Kiran C Patel Coll Osteopath Med, Clin Sci, Clearwater, FL USA

[6] Nova Southeastern Univ, Dr Kiran C Patel Coll Osteopath Med, Basic Sci, Clearwater, FL USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 08期

关键词：

psychiatric pharmacology; clinical psychiatry; cardiology; emergency medicine; emergency critical care; disaster medicine; neurology; critical care; OVERDOSE;

D O I：

10.7759/cureus.17181

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Tricyclic antidepressant (TCA) is a known frequently used and highly potent antidepressant that serves as an unsuspecting source of acute human poisoning. We present a case of an Asian female in her mid-30s who suffered TCA toxidrome that manifested as severe cardiovascular toxicities including arrhythmia characterized by QT elongation that was managed emergently. Hemodynamics and ECG findings improved gradually following appropriate therapy in the intensive care unit. Following two days of treatment, the patient regained consciousness and after seven days the patient made a full clinical recovery and was discharged with no residual neurological effects. The relevant medical literature on TCA poisoning is reviewed.

引用

页数：3

共 8 条

[1]

Atlee JL, 2007, ANTICHOLINERGICS COM, Vsecond, P28, DOI [10.1016/B978-1-4160-2215-2.X5001-7, DOI 10.1016/B978-1-4160-2215-2.X5001-7]

[2] Guidelines in Emergency Medicine Network (GEMNet): guideline for the management of tricyclic antidepressant overdose [J].