Amitriptyline-induced ventricular tachycardia: a case report

1 25-year-old Bangladeshi female presenting with impaired consciousness and ventricular tachycardia 10 hours after intentionally ingesting 2500 mg amitriptyline.

8.4% sodium bicarbonate (100 ml initial bolus, then continuous infusion to maintain pH 7.50-7.55, total 600 mmol over 24 h) and 500 ml intravenous lipid emulsion over 2 h.

Resolution of ventricular tachycardia and QRS narrowingsurrogate