Case Reports
Electrocardiographical case. A man found unconscious
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Case Reports
Electrocardiographical case. A man found unconscious
Singapore Med J.
2006 Aug.
Free article
Abstract
A 25-year-old man was brought to the emergency room after being found unconscious. Electrocardiography (ECG) showed changes classical of tricyclic antidepressant (TCA) poisoning. These included sinus tachycardia, QTc prolongation, QRS complex widening, right axis deviation and positive R waves in lead aVR. This unique ECG highlights the importance of lead aVR, which often tends to be ignored. Treatment is started based on ECG findings.
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