Cheung, Brian and Levy, Chris and Shivkumar, Abhijit (2020) First-Degree Atrioventricular Block with Tachycardia from Paliperidone and Mirtazapine Overdose. European Journal of Case Reports in Internal Medicine, 7 (12). pp. 1-4. ISSN ISSN: 2284-2594
|
Text
1879-Article Text-16794-1-10-20200928.pdf - Published Version Download (1MB) | Preview |
Abstract
Background: Paliperidone and mirtazapine are psychotropic agents associated with proarrhythmic effects. Case Presentation: A 21-year-old woman was admitted to the intensive care unit on two separate occasions for attempting suicide by overdosing on paliperidone and mirtazapine. During both admissions, the patient had atypical chest pain and a first-degree atrioventricular block (AVB) with paradoxical sinus tachycardia, which resolved with the discontinuation of paliperidone and mirtazapine and aggressive intravenous fluids. Conclusion: Drug-induced first-degree AVB from paliperidone and mirtazapine should be on the differential diagnosis in patients on paliperidone and/or mirtazapine who present with chest pain, tachycardia or new-onset first-degree AVB.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Atrioventricular block, paliperidone |
| Subjects: | 600 Tecnologia - Scienze applicate 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 20 Dec 2021 14:44 |
| Last Modified: | 20 Dec 2021 14:44 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21146 |
Actions (login required)
 |
View Item |
