Cardiovascular Toxicology

, Volume 19, Issue 1, pp 90–93 | Cite as

Refractory Arrhythmias in a Young Patient Poisoned by Imipramine

  • Nahid Azdaki
  • Samaneh Nakhaee
  • Nasim Zamani
  • Omid MehrpourEmail author


Tricyclic antidepressants are used to treat a variety of mental disorders, and are considered a common cause of fatal drug poisoning. This study reports a young woman with no history of cardiac diseases who presented to the emergency department with heart palpitation, weakness, and lethargy. After a short period of time, she became unconscious and experienced hypotension and refractory arrhythmia, finally being diagnosed with imipramine poisoning. Accurate history taking and the possible causes of these complications including cardio-toxic drug poisoning should be considered in such patients.


Refractory arrhythmias Poisoning Cardio-toxic drug Tricyclic antidepressant Case report 


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Nahid Azdaki
    • 1
  • Samaneh Nakhaee
    • 2
  • Nasim Zamani
    • 3
  • Omid Mehrpour
    • 2
    • 4
    Email author
  1. 1.Cardiovascular Diseases Research Center, Department of Cardiology, School of MedicineBirjand University of Medical ScienceBirjandIran
  2. 2.Medical Toxicology and Drug Abuse Research Center (MTDRC)Birjand University of Medical SciencesBirjandIran
  3. 3.Department of Clinical Toxicology, Loghman-Hakim HospitalShahid Beheshti University of Medical SciencesTehranIran
  4. 4.Rocky Mountain Poison and Drug CenterDenverUSA

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