Kiran H S, Ravikumar Y S, Jayasheelan M R
JSS Medical College & Hospital, Mysore.
J Assoc Physicians India. 2010 Feb;58:120-2.
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.
三环类抗抑郁药（TCAs）过量服用时可能会产生危险的心脏效应。心电图作为三环类抗抑郁药暴露的筛查工具和预后指标都很有用。三环类抗抑郁药过量服用可能会导致各种心电图变化。我们报告一例多塞平过量服用导致类似Brugada综合征的心电图表现，包括右束支传导阻滞，该表现随后自发缓解。
