A Case of Ventricular Tachycardia Induced by Amitriptyline in a Patient with Painful Diabetic Neuropathy / 대한내분비학회지
Journal of Korean Society of Endocrinology
; : 183-188, 1999.
Article
em Ko
| WPRIM
| ID: wpr-119793
Biblioteca responsável:
WPRO
ABSTRACT
Diabetic neuropathy is one of the most common complications of diabetic mellitus and has myriad clinical presentations. Amitriptyline is an effective drug for painful diabetic neuropathy, but has a wide variety of cardiovascular effects. We report a case of amitriptyline-induced ventricular tachycardia in a patient with painful diabetic neuropathy. A 48-year-old man with no history of heart disease was treated with amitriptyline for the past 2 months. The dosage of this drug was gradually increased and the maximal dose was 170 mg per day. Prior to administration of this drug, his chest X-ray and electrocardiogram were normal. On admission he complained of chest discomfort and palpitation for 3 days, but his vital sign was stable. The electrocardiogram showed a wide QRS complex with a rate of 170 beats per minute. The ventricular tachycardia was successfully treated with electrical cardioversion.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Tórax
/
Cardioversão Elétrica
/
Taquicardia Ventricular
/
Neuropatias Diabéticas
/
Eletrocardiografia
/
Sinais Vitais
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Cardiopatias
/
Amitriptilina
Limite:
Humans
Idioma:
Ko
Revista:
Journal of Korean Society of Endocrinology
Ano de publicação:
1999
Tipo de documento:
Article