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Revista Clínica de Medicina de Familia
On-line version ISSN 2386-8201Print version ISSN 1699-695X
Abstract
CRIADO-ALVAREZ, Juan José; GONZALEZ GONZALEZ, Jaime; CORREA MARTIN, Silvia and ROMO BARRIENTOS, Carmen. Escitalopram and ventricular extrasystoles. Rev Clin Med Fam [online]. 2015, vol.8, n.1, pp.71-74. ISSN 2386-8201. https://dx.doi.org/10.4321/S1699-695X2015000100010.
Cardiac toxicity of selective serotonin reuptake inhibitors, such as citalopram and escitalopram, has been associated with a prolonged QT interval on the electrocardiogram. We present a case of bigeminal ventricular extrasystole associated with escitalopram use, which should be avoided in patients with a personal or family history of sudden death, female patients, decompensated congestive heart failure, myocardial infarction, bradyarrhythmias, electrolyte changes, and a history of long QT interval. In patients over 65, electrocardiographic monitoring is also advisable.
Keywords : Antidepressive Agents; Citalopram; Ventricular Extrasystole; Long QT Syndrome.