Escitalopram-induced sinus bradycardia in coronary heart disease combined with depression: a case report and review of literature

依西酞普兰 心动过缓 医学 心率 奎硫平 麻醉 窦性心动过缓 心脏病学 内科学 窦性心律 精神科 抗抑郁药 血压 心房颤动 海马体 精神分裂症(面向对象编程)
作者
Liucheng Li,Wen Sun,Xiaoqin Lv,Yaoyao Xu,Ying Hu,Jiana Shi
出处
期刊:Frontiers in Cardiovascular Medicine [Frontiers Media SA]
卷期号:10 被引量:2
标识
DOI:10.3389/fcvm.2023.1133662
摘要

For patients with cardiovascular disease, using the antidepressant escitalopram may lead to unexpected adverse events. Here, a rare repeated sinus bradycardia event due to escitalopram is first reported. In an 82-year-old female patient with cardiac dysfunction using digoxin, tachycardia (average heart rate of 93 beats/min) was demonstrated by electrocardiogram (ECG). She began to take escitalopram and lorazepam due to depression, but sinus bradycardia (93.7% heart rate was <60 beats/min) and sinus arrest were first detected after 3 months. Its proportion decreased to 0.1% after discontinuation of digoxin and escitalopram for 1 day, and the rhythm returned to normal 2 weeks later. After 2 months, escitalopram was prescribed again in combination with quetiapine; then, 17.1% heart rate was <60 beats/min. After escitalopram and quetiapine withdrawal, the ECG showed the heart rhythm had normalized again. No other drug changes were made during these periods. Escitalopram was deemed to be a highly possible cause of sinus bradycardia according to its Naranjo's Algorithm score. Furthermore, literature on escitalopram-mediated cardiovascular adverse events was reviewed and analyzed. Empirically, escitalopram should be discontinued immediately if iatrogenic causes cannot be ruled out. Furthermore, ECG monitoring in escitalopram-related cardiovascular adverse events is highlighted, especially in patients receiving certain drug classes simultaneously (i.e., sinoatrial node inhibitors, antipsychotics).
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