title: A forgotten cause of wide complex tachycardia.
abstract: Wide complex tachycardia secondary to an acute overdose from TCA's is a well-documented phenomenon. In this case we present a wide complex tachycardia after clear documentation of no acute overdose, which responded to standard treatment for TCA toxicity. These findings combined with chronic electrocardiographic abnormalities were suggestive of an acute on chronic TCA toxicity.
authors.affiliation: Wayne State University, Detroit Medical Center. Electronic address: vreddy@med.wayne.edu.
authors.forename: Vivek
authors.initials: V
authors.lastname: Reddy
authors.affiliation: Wayne State University, Detroit Medical Center.
authors.forename: Yaoyun Sarah
authors.initials: YS
authors.lastname: Shen
authors.affiliation: Wayne State University, Detroit Medical Center.
authors.forename: Shanker
authors.initials: S
authors.lastname: Kundumadam
authors.affiliation: Wayne State University, Detroit Medical Center.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Kathi
authors.affiliation: Wayne State University, Detroit Medical Center.
authors.forename: Mazhar H
authors.initials: MH
authors.lastname: Khan
mesh_terms: D000929:Antidepressive Agents, Tricyclic / Q000506:poisoning*; D003937:Diagnosis, Differential; D062787:Drug Overdose / Q000150:complications* / Q000175:diagnosis*; D004562:Electrocardiography / Q000187:drug effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000139:chemically induced* / Q000175:diagnosis*
chemical_list: D000929:Antidepressive Agents, Tricyclic
keywords: Cause; Forgotten; TCA; Wide complex tachycardia