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May 26, 1993JAMA

The safety of tricyclic antidepressants in cardiac patients. Risk-benefit reconsidered

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Why the study?

Do tricyclic antidepressants reduce sudden death in depressed patients with preexisting arrhythmias or post-myocardial infarction?

Population

Depressed patients with preexisting arrhythmias or post-myocardial infarction

Design

Editorial

Authors

AGAlexander H. GlassmanBoston University

Discussion

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Implication

May warrant caution with TCAs post-MI; leaves open net benefit in depressed patients pending randomized data.

Structured PICO

Do tricyclic antidepressants reduce sudden death in depressed patients with preexisting arrhythmias or post-myocardial infarction?

P
Population
Depressed patients with preexisting arrhythmias or post-myocardial infarction
I
Intervention
Tricyclic antidepressants (TCAs)
O
Outcome
Arrhythmias and sudden deathsafety

The safety of tricyclic antidepressants in cardiac patients is reconsidered, highlighting that their class I antiarrhythmic-like effects may not be beneficial post-myocardial infarction.

Cite This Study

Alexander H. Glassman (1993) studied this question.

synapsesocial.com/papers/6a108f3b1406dce28afcbdf2https://doi.org/10.1001/jama.269.20.2673
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Safety of Tricyclic Antidepressants in Cardiac Patients1993 · 225 citations
  2. 2Risks of Antidepressants in the Elderly: Tricyclic Antidepressants and Arrhythmia – Revising Risks2009 · 43 citations
  3. 3Tricyclic Antidepressants in Depressed Patients With Cardiac Conduction Disease1987 · 158 citations
  4. 4Cardiac Antiarrhythmic Effect of Imipramine Hydrochloride1977 · 200 citations
  5. 5Cardiovascular Effects of Tricyclic Antidepressants in Depressed Patients with Chronic Heart Disease1982 · 202 citations