| Suicide attempt by pure citalopram overdose causing long-lasting severe sinus bradycardia, hypotension and syncopes: successful therapy with a temporary pacemaker. | |
| | |
MedLine Citation:
|
PMID: 10958266 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In few cases, pure citalopram overdose at doses above 600 mg showed electro-cardiographic changes with prolonged QT intervals and sinus bradycardia gradually resolving within 12-24 hours after intoxication. We report on a 32-year-old patient with borderline personality disorder (BPD) who ingested a total of 800 mg citalopram to attempt suicide due to an interpersonal disappointment. She developed severe sinus bradycardia with a minimal pulse rate of 41/min within about 4 hours after intoxication lasting up to six days during intensive care unit (ICU) treatment. Further, hypotension and syncopes occurred. No QT interval prolongations were recorded. To our knowledge, this is the first case report of pure citalopram overdose-induced long-lasting sinus bradycardia associated with severe hypotension and intermittent syncopes that required therapy with a temporary pacemaker. |
| | |
Authors:
|
H B Rothenhäusler; C Hoberl; S Ehrentrout; H P Kapfhammer; M M Weber |
Related Documents
:
|
8958546 - Agenesis of sphenoid sinus. case report. 12048696 - Primary liposarcoma of the orbit: a clinicopathological study. 18046566 - Surgical treatment of the high jugular bulb by compressing sinus sigmoideus: two cases. 20884116 - Cavernous sinus syndrome, an atypical presentation of tertiary syphilis: case report an... 19763216 - Remote cerebellar hemorrhage complicated after supratentorial surgery: retrospective st... 1305706 - Trilateral retinoblastoma. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Pharmacopsychiatry Volume: 33 ISSN: 0176-3679 ISO Abbreviation: Pharmacopsychiatry Publication Date: 2000 Jul |
Date Detail:
|
Created Date: 2000-12-14 Completed Date: 2000-12-14 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8402938 Medline TA: Pharmacopsychiatry Country: GERMANY |
Other Details:
|
Languages: eng Pagination: 150-2 Citation Subset: IM |
Affiliation:
|
Department of Psychiatry, Ludwig-Maximilians-University of Munich, Germany. rothenh@kons.med.uni-muenchen.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Borderline Personality Disorder / drug therapy* Bradycardia / chemically induced*, therapy Citalopram / poisoning* Female Humans Hypotension / chemically induced*, therapy Interpersonal Relations Pacemaker, Artificial* Serotonin Uptake Inhibitors / poisoning* Spouses Suicide, Attempted* Syncope / chemically induced* |
| Chemical | |
Reg. No./Substance:
|
0/Serotonin Uptake Inhibitors; 59729-33-8/Citalopram |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Akathisia masked by hypokinesia.
Next Document: Heterogeneity of myocardial wall motion and thickening in the left ventricle evaluated with quantita...