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April 14, 2009Gerontology

Risks of Antidepressants in the Elderly: Tricyclic Antidepressants and Arrhythmia – Revising Risks

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Why the study?

Do tricyclic antidepressants increase the risk of proarrhythmia and death in patients with ischaemic heart disease?

Population

Elderly patients and patients with ischaemic heart disease or myocardial infarction

Design

Review

Authors

AGAlexander H. GlassmanBoston UniversitySRSteven P. RooseCross-Cutting Cardiology

Discussion

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Implication

Tricyclic antidepressants may carry a significant proarrhythmic risk and increase mortality in patients with ischaemic heart disease, similar to the risks observed with class I antiarrhythmic drugs.

Structured PICO

Do tricyclic antidepressants increase the risk of proarrhythmia and death in patients with ischaemic heart disease?

P
Population
Elderly patients and patients with ischaemic heart disease or myocardial infarction
I
Intervention
Tricyclic antidepressants (TCAs)
O
Outcome
Proarrhythmia and deathsafety

Tricyclic antidepressants may carry a significant proarrhythmic risk and increase mortality in patients with ischaemic heart disease, similar to the risks observed with class I antiarrhythmic drugs.

Cite This Study

Glassman et al. (2009) studied this question.

synapsesocial.com/papers/6a73dcdd5e45dc7750a8bf8chttps://doi.org/10.1159/000213616
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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 patients. Risk-benefit reconsidered1993 · 50 citations
  2. 2The Safety of Tricyclic Antidepressants in Cardiac Patients1993 · 225 citations
  3. 3Cardiovascular effects of antidepressant drugs1993 · 21 citations
  4. 4Cardiovascular effects of antidepressant drugs1998 · 43 citations
  5. 5Cyclic antidepressants and the risk of sudden cardiac death2004 · 274 citations