Chow JJ, Kaza N, Varnava A. The Brugada Type 1 Electrocardiogram and Ventricular Tachycardia With High-Dose Amitriptyline.
JACC Case Rep 2021;
3:156-161. [PMID:
34317492 PMCID:
PMC8305695 DOI:
10.1016/j.jaccas.2020.11.016]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 10/29/2020] [Accepted: 11/02/2020] [Indexed: 11/26/2022]
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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