Why the study?
Does routine EKG monitoring influence the treatment of adult patients with tricyclic antidepressant poisoning?
Does routine EKG monitoring influence the treatment of adult patients with tricyclic antidepressant poisoning?
Routine EKG monitoring may not be necessary in adult patients with tricyclic antidepressant poisoning, as clinically significant dysrhythmias are uncommon and monitoring does not appear to alter management.
Questions necessity of routine EKG monitoring in TCA overdose; hypothesis-generating case report needing prospective validation.
One hundred adult patients with tricyclic antidepressant poisoning were studied by clinical observation and EKG monitoring. Sinus tachycardia was common but dysrhythmias were uncommon and unimportant. EKG monitoring did not influence the treatment of these patients and the value of its routine use in tricyclic antidepressant poisoning is questioned.
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Richard Woodhead (1979) studied this question.
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