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硫利达嗪与三环类抗抑郁药联用的心脏毒性

Cardiac toxicity with thioridazine-tricyclic antidepressant combination.

作者信息

Heiman E M

出版信息

J Nerv Ment Dis. 1977 Aug;165(2):139-43. doi: 10.1097/00005053-197708000-00008.

Abstract

Thioridazine-tricyclic antidepressant combination is frequently used in clinical practice. One reason for the choice of this combination may be its anticipated effectiveness in depressions which show both retarded and anxious features. Because both of these drugs have an adverse effect on cardiac repolarization, this may be a particularly hazardous combination. Two cases are presented illustrating life-threatening ventricular arrythmia in patients who have ingested both thioridazine and tricyclic antidepressants.

摘要

硫利达嗪与三环类抗抑郁药联合使用在临床实践中很常见。选择这种联合用药的一个原因可能是预期它对既有迟滞又有焦虑特征的抑郁症有效。由于这两种药物都对心脏复极化有不良影响,所以这可能是一种特别危险的联合用药。本文介绍了两例摄入硫利达嗪和三环类抗抑郁药的患者出现危及生命的室性心律失常的病例。

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