The Brugada Type 1 Electrocardiogram and Ventricular Tachycardia With High-Dose Amitriptyline
Ji-Jian Chow1, Nandita Kaza1, Amanda Varnava1
1Cardiology Department, Imperial College Healthcare National Health Service Trust, London, United Kingdom.
Abstract:
A 32-year-old woman with anorexia nervosa experienced ventricular tachycardia while on therapeutic-dose amitriptyline despite normal blood tests, imaging, and intracardiac recordings. Electrocardiograms over several years featured the Type 1 Brugada pattern. Careful electrocardiogram monitoring should be made if using high doses of amitriptyline, especially in those with low body weight. (Level of Difficulty: Intermediate.).
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