The EKG in the patient treated with tricyclic antidepressants: Difference between revisions
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[[Image:ECG nortr intox.png|left|thumb|350px|Severe nortriptyline intoxication. Wide QRS complex and a prolonged QT interval.]] | [[Image:ECG nortr intox.png|left|thumb|350px|Severe nortriptyline intoxication. Wide QRS complex and a prolonged QT interval.]] | ||
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[[Image:ECG TCA intox.jpg|left|thumb|350px|Severe nortriptyline intoxication]] | [[Image:ECG TCA intox.jpg|left|thumb|350px|Severe nortriptyline intoxication]] | ||
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[[Image:ECG_amitr_OD_during.jpg|left|thumb|350px|Severe amitriptylin intoxication.]] | [[Image:ECG_amitr_OD_during.jpg|left|thumb|350px|Severe amitriptylin intoxication.]] | ||
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[[Image:ECG_amitr_OD_before.jpg|left|thumb|350px|Same patient before intoxication state.]] | [[Image:ECG_amitr_OD_before.jpg|left|thumb|350px|Same patient before intoxication state.]] | ||
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Revision as of 14:20, 19 March 2009
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Electrocardiographic Findings
- EKG changes are observed in 20% of patients who are at therapeutic doses
- Prolongation of the QTc, displacement of the ST segment, T wave abnormalities, QRS widening, supraventricular and ventricular tachycardias can all occur.
- In overdose, widening of the QRS is frequent, and there is also QTc prolongation
Examples
![](/images/d/d8/ECG_nortr_intox.png)
![](/images/7/78/ECG_TCA_intox.jpg)
![](/images/9/96/ECG_amitr_OD_during.jpg)
![](/images/5/54/ECG_amitr_OD_before.jpg)