阿米替林中毒时的心电图变化。

Barnes R J, Kong S M, Wu R W

Br Med J. 1968 Jul 27;3(5612):222-3. doi: 10.1136/bmj.3.5612.222.

In imipramine and amitriptyline poisoning the electrocardiographic abnormalities comprise arrhythmias, widening of the QRS complex, and marked changes in die S-T segment. These features were found to be of value in the differential diagnosis of unknown poisoning. The unusual configuration of qR with raised S-T segment in V1, simulating myocardial infarction, was seen in one of our patients and has been noted in four cases reported by other workers.

在丙咪嗪和阿米替林中毒时，心电图异常包括心律失常、QRS波群增宽以及ST段的显著改变。这些特征被发现对不明中毒的鉴别诊断有价值。我们的一名患者出现了V1导联qR形态伴ST段抬高，类似心肌梗死的异常形态，其他研究者报告的4例中也有此情况。