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Paper Information

Journal:   IRANIAN HEART JOURNAL (IHJ)   FALL 2012 , Volume 13 , Number 3; Page(s) 43 To 45.
 
Paper: 

ST ELEVATION IN TRICYCLIC ANTIDEPRESSANTS TOXICITY: A CASE REPORT

 
 
Author(s):  TAHERINIYA ALI, HEIDARPOUR AZADEH*
 
* ALBORZ UNIVERSITY OF MEDICAL SCIENCES, KARAJ, IRAN
 
Abstract: 
Of all antidepressants, tricyclic antidepressants (TCAs) are the most toxic drugs and they are often used for suicide attempts. An 18-year-old female was admitted to the emergency department after having taken 30 tablets of Nortriptyline 50 mg in a suicide attempt. A twelve-lead electrocardiogram revealed right bundle branch block in leads V1, V2, and V3 as well as deep S in leads, V5, and V6, and tall R in AVR, which meant extreme right axis and ST elevation in leads V2 and V3: that raised the suspicion of the Brugada syndrome. ST elevation after TCA toxicity is a rare medical condition, and our literature review failed to find any relevant reports.
 
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