Prolonged asystole during head-up tilt testing with clomipramine infusion.
This case report describes a patient with a history of neurocardiogenic syncope, who had had a negative head-up tilt test with isoprenaline, but he experienced a prolonged asystole during a head-up tilt test with clomipramine (serotonin reuptake inhibitor) 24 h later. This patient was successfully treated with fluoxetine.
Leftheriotis
D I
DI
2nd Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece. elbee@ath.forthnet.gr
Theodorakis
G N
GN
Kremastinos
D Th
DT
D000328:Adult; D002997:Clomipramine / Q000008:administration & dosage / Q000009:adverse effects*; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D017367:Selective Serotonin Reuptake Inhibitors / Q000008:administration & dosage / Q000009:adverse effects*; D019462:Syncope, Vasovagal / Q000175:diagnosis; D018667:Tilt-Table Test / Q000009:adverse effects*; D013997:Time Factors
D002997:Clomipramine; D017367:Selective Serotonin Reuptake Inhibitors