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Refractory Arrhythmias in a Young Patient Poisoned by Imipramine
Nahid Azdaki1, Samaneh Nakhaee2, Nasim Zamani3
1Cardiovascular Diseases Research Center, Department of Cardiology, School of Medicine, Birjand University of Medical Science, Birjand, Iran.
Abstract:
Tricyclic antidepressants are used to treat a variety of mental disorders, and are considered a common cause of fatal drug poisoning. This study reports a young woman with no history of cardiac diseases who presented to the emergency department with heart palpitation, weakness, and lethargy. After a short period of time, she became unconscious and experienced hypotension and refractory arrhythmia, finally being diagnosed with imipramine poisoning. Accurate history taking and the possible causes of these complications including cardio-toxic drug poisoning should be considered in such patients.
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