TULBURĂRI DE RITM VENTRICULAR ÎNTR-UN CAZ DE HIPOGLICEMIE SEVERĂ PRIN INTOXICAȚIE CU BIGUANIDE ȘI ANTIDEPRESOARE TRICICLICE

March 1, 2002

Cătălina Lionte *, Cristina Bologa *, O. Petriș *
* Cătălina Lionte, Cristina Bologa, Ovidiu Petriș, medici primari medicină internă, asistenți universitari, Clinica Medicală a Spitalului Clinic de Urgențe Iași, UMF “Gr.T.Popa” Iași

Abstract

Acute poisoning in a suicidal attempt with oral antidiabeticagents asociated with tricyclic antidepressant drugs are rare and cumulating effects of those two drugs enhance s the risk for cardiac complications in these patients. This article presents a case-report in which the association between these two drugs increases the arrhythmogenic potential of each, through metabolic consequencesthat appear (severe hypoglycemia, important lactic acidosis) and determine a poor prognosis.