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Survival after severe amitriptyline poisoning with prolonged ventricular tachycardia and cardiac arrest

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dc.contributor.author Abeyaratne, D.D.K.
dc.contributor.author Liyanapathirana, C.
dc.contributor.author Gamage, A.
dc.contributor.author Karunarathne, P.
dc.contributor.author Botheju, M.
dc.contributor.author Indrakumar, J.
dc.date.accessioned 2017-11-02T02:50:20Z
dc.date.available 2017-11-02T02:50:20Z
dc.date.issued 2016-03-15
dc.identifier.citation Abeyaratne, D.D.K., Liyanapathirana, C., Gamage, A., Karunarathne, P., Botheju, M., Indrakumar, J. (2016). "Survival after severe amitriptyline poisoning with prolonged ventricular tachycardia and cardiac arrest", BMC Research Notes, Vol.9, pp. 01-05 en_US, si_LK
dc.identifier.uri http://dr.lib.sjp.ac.lk/handle/123456789/6395
dc.description.abstract Attached en_US, si_LK
dc.description.abstract Background: Tricyclic antidepressants (TCA) are becoming one of the most frequently used substances in self poi- - soning. Significant morbidity and mortality associated with TCA overdose are often related to and refractory hypotension. We report the first case of survival after severe amitriptyline poisoning, leading to prolonged cardiac arrest and ’ ventricular tachycardia (VT), resuscitated with 3 h of uninterrupted cardiac massage and Direct current (DC) shocks. Case presentation: A 25 year old girl presented with severe amitriptyline poisoning causing pulseless VT and prolonged cardiac arrest. After 3 h of uninterrupted external cardiac massage, together with nine DC shocks and intra venous bicarbonate injections the rhythm reverted to a nodal tachycardia, initial 2D echocardiogram showed left ventricular dysfunction, which recovered to normal after 2 weeks and the patient had a complete recovery subsequently. Conclusion: Our case highlights the importance of continued resuscitation in patients presenting with TCA poisoning and resistant arrhythmia, especially in young and otherwise healthy patients
dc.language.iso en_US en_US, si_LK
dc.publisher BMC Research Notes en_US, si_LK
dc.subject Tricyclic antidepressants en_US, si_LK
dc.subject Cardiac arrhythmia en_US, si_LK
dc.subject Prolonged cardiac arrest en_US, si_LK
dc.title Survival after severe amitriptyline poisoning with prolonged ventricular tachycardia and cardiac arrest en_US, si_LK
dc.type Article en_US, si_LK


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