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Cardiovascular Complications of Imipramine Intoxication

  • Michael H. Sacks
  • , Richard J. Bonforte
  • , Richard P. Lasser
  • , Ivan Dimich

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

A 2 1/2-year-old boy died as a result of cardiovascular complications of imipramine hydrochloride overdosage. Through a direct toxic effect on the myocardium, imipramine lowers myocardial contractility and cardiac output with resultant hypotension. Cardiac arrhythmias are also a constant feature of imipramine toxicity. Since there is no specific antidote to imipramine, treatment of over-dosage with this drug must be directed at its life-threatening circulatory and respiratory manifestations if the patient is to stand any chance for survival.

Original languageEnglish
Pages (from-to)588-590
Number of pages3
JournalJAMA - Journal of the American Medical Association
Volume205
Issue number8
DOIs
StatePublished - 19 Aug 1968

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