Cardiotoxicity and late onset seizures with citalopram overdose |
| |
Authors: | Engebretsen Kristin M Harris Carson R Wood James E |
| |
Affiliation: | Clinical Toxicology Service, Emergency Medicine Department, Regions Hospital, St. Paul, Minnesota, USA. |
| |
Abstract: | A 31-year-old man ingested 400 mg of citalopram (Celexa) after an argument with his parents and girlfriend 13 h before presentation. Paramedics witnessed the patient having a generalized clonic seizure. The electrocardiogram (EKG) revealed a wide QRS complex, prolongation of the QTc interval, and left bundle branch pattern. He was treated with sodium bicarbonate with resolution of these changes. The patient was continued on a sodium bicarbonate infusion and demonstrated no further EKG abnormalities. Sodium bicarbonate should be considered as a treatment modality in patients with EKG abnormalities of prolongation of QRS or QTc interval after citalopram overdose. |
| |
Keywords: | |
本文献已被 PubMed 等数据库收录! |
|