Brugada like pattern in ECG with drug overdose.
Tricyclic antidepressants (TCAs) may have dangerous cardiac effects in overdose. ECG is useful as both a screening tool for tricyclic antidepressant exposure and as a prognostic indicator. TCA overdose may produce various ECG changes. We report a case of Dothiepin overdose resulting in Brugada like pattern including RBBB which resolved spontaneously.
Kiran
H S
HS
JSS Medical College & Hospital, Mysore.
Ravikumar
Y S
YS
Jayasheelan
M R
MR
Prashanth
D000328:Adult; D000525:Alprazolam / Q000506:poisoning*; D000929:Antidepressive Agents, Tricyclic / Q000506:poisoning*; D053840:Brugada Syndrome / Q000139:chemically induced* / Q000503:physiopathology; D004308:Dothiepin / Q000506:poisoning*; D062787:Drug Overdose / Q000150:complications; D004562:Electrocardiography; D005260:Female; D005751:Gastric Lavage; D006801:Humans; D006993:Hypnotics and Sedatives; D013406:Suicide, Attempted; D016896:Treatment Outcome
D000929:Antidepressive Agents, Tricyclic; D006993:Hypnotics and Sedatives; D004308:Dothiepin; D000525:Alprazolam