Document Detail


Isolated Tramadol Overdose Associated with Brugada ECG Pattern.
MedLine Citation:
PMID:  21039643     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Tramadol is a commonly prescribed synthetic opioid analgesic. In humans, electrocardiogram (ECG) changes consistent with sodium-channel blockade have not been described in overdoses with tramadol. We report a case of isolated tramadol overdose associated with a Brugada ECG pattern. A review of the literature reveals no previous human cases of tramadol overdose causing ECG changes consistent with sodium-channel blockade. However, in vitro blockade of sodium-channels has been demonstrated with high concentrations of tramadol. Tramadol overdose should be recognized as a cause for the manifestation of a Brugada ECG pattern in the setting of suicidal intoxication. (PACE 2010; 1-3).
Authors:
Jon B Cole; Srinivasan Sattiraju; Elisabeth F Bilden; Richard W Asinger; Stefan C Bertog
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-10-7
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  -     ISSN:  1540-8159     ISO Abbreviation:  -     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2010, The Authors. No claim to original US government works.
Affiliation:
Hennepin Regional Poison Center, Minneapolis, Minnesota Hennepin County Medical Center, Minneapolis, Minnesota University of Minnesota, Minneapolis, Minnesota Veterans Affairs Medical Center, Minneapolis, Minnesota.
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