[A patient with nodal tachycardia after general anesthesia during medication with a selective serotonin reuptake inhibitor].
We report on a 62 year old female patient treated with paroxetine, a selective serotonin reuptake inhibitor, because of an anxiety neurosis undergoing a vaginal hysterectomy in general anesthesia. Apart from a dietary treated diabetes mellitus there were no other diseases. There were no complications during the operation. At the end of the anesthesia an A-V nodal tachycardia appeared which spontaneously changed to a sinus rhythm ten hours after the end of the operation. No clinical or laboratory findings indicated a cardiac ischemia and an additional Holter ECG-Recording showed no further cardiac arrhythmias. No other complications occurred afterwards and the patient was discharged after two weeks. This case report demonstrates clearly that despite a reduced rate of cardiovascular complications compared to other types of antidepressants selective serotonin reuptake inhibitors can lead to perioperative cardiac arrhythmias.
Kopp
R
R
Klinik für Anästhesiologie des Universitätsklinikums der RWTH Aachen.
Kunitz
O
O
Baumert
J H
JH
Rossaint
R
R
D000768:Anesthesia, General / Q000009:adverse effects*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D017374:Paroxetine / Q000009:adverse effects*; D017367:Selective Serotonin Reuptake Inhibitors / Q000009:adverse effects*; D013610:Tachycardia / Q000139:chemically induced* / Q000473:pathology
D017374:Paroxetine; D017367:Selective Serotonin Reuptake Inhibitors