Skip to main content
Canadian Family Physician logoLink to Canadian Family Physician
. 1989 May;35:1101–1102.

Unnecessary Delay in Tricyclic Antidepressant Treatment of a Patient with Atrial Fibrillation

Ronald A Remick, Colleen Froese
PMCID: PMC2280376  PMID: 21248942

Abstract

Atrial fibrillation and other cardiac conduction disturbances are not contraindications for the use of tricyclic antidepressants. A case in which physician unfamiliarity with these facts led to an unnecessary delay in the antidepressant treatment of a patient with depression and long-standing atrial fibrillation is presented.

Keywords: tricyclic antidepressants, cardiac conduction disturbances, atrial fibrillation

Full text

PDF
1101

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Avery D., Winokur G. Mortality in depressed patients treated with electroconvulsive therapy and antidepressants. Arch Gen Psychiatry. 1976 Sep;33(9):1029–1037. doi: 10.1001/archpsyc.1976.01770090019001. [DOI] [PubMed] [Google Scholar]
  2. Glassman A. H. Cardiovascular effects of tricyclic antidepressants. Annu Rev Med. 1984;35:503–511. doi: 10.1146/annurev.me.35.020184.002443. [DOI] [PubMed] [Google Scholar]
  3. Goldman L. S., Alexander R. C., Luchins D. J. Monoamine oxidase inhibitors and tricyclic antidepressants: comparison of their cardiovascular effects. J Clin Psychiatry. 1986 May;47(5):225–229. [PubMed] [Google Scholar]
  4. Gorelick D. A., Marder S. R., Sack D., Marks H. Atrial flutter/fibrillation associated with tranylcypromine treatment. J Clin Psychopharmacol. 1981 Nov;1(6):402–404. doi: 10.1097/00004714-198111000-00012. [DOI] [PubMed] [Google Scholar]
  5. Roose S. P., Glassman A. H., Giardina E. G., Walsh B. T., Woodring S., Bigger J. T. Tricyclic antidepressants in depressed patients with cardiac conduction disease. Arch Gen Psychiatry. 1987 Mar;44(3):273–275. doi: 10.1001/archpsyc.1987.01800150093011. [DOI] [PubMed] [Google Scholar]
  6. Veith R. C., Raskind M. A., Caldwell J. H., Barnes R. F., Gumbrecht G., Ritchie J. L. Cardiovascular effects of tricyclic antidepressants in depressed patients with chronic heart disease. N Engl J Med. 1982 Apr 22;306(16):954–959. doi: 10.1056/NEJM198204223061603. [DOI] [PubMed] [Google Scholar]
  7. White W. B., Wong S. H. Rapid atrial fibrillation associated with trazodone hydrochloride. Arch Gen Psychiatry. 1985 Apr;42(4):424–424. doi: 10.1001/archpsyc.1985.01790270114017. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada

RESOURCES