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Information Journal Paper

Title

FREQUENCY OF ELECTROCARDIOGRAPHIC ABNORMALITIES IN TRAMADOL POISONED PATIENTS, A BRIEF REPORT

Pages

  151-154

Abstract

 Introduction: Previous studies have raised the probably of CARDIAC manifestation in TRAMADOL poisoning. However, conclusive information on electrocardiographic (ECG) abnormalities of TRAMADOL overdose remains to be explained. Therefore, the present study aimed to evaluate the epidemiology of ECG abnormalities in TRAMADOL poisoned patients.Methods: In a prospective cross-sectional study, all patients with TRAMADOL poisoning, who were admitted to the emergency department of Loghman Hospital during 2012-2013, were evaluated. Patients baseline characteristics and ECG findings including axis, rate, rhythm, PR interval, QRS duration, QTc interval, evidence of Brugada pattern, and evidence of blocks were recorded. Obtained Data were descriptively analyzed using SPSS 21.0 statistical software.Results: 1402 patients with the mean age of 24±6 years were studied (71.1% male). Sinus tachycardia was detected in 463 (33%) patients, sinus bradycardia in one patient (0.07%), right axis deviation in 340 (24.2), QRS widening in 91 (6.5%), long QTc interval in 259 (18.4%), dominant S wave in either I or aVL lead in 395 (28.1%), and right bundle branch block in 73 (5.2%). Increased PR interval was not detected in any cases. The evidence of Brugada pattern was observed in 2 (0.14%) patients (100% male), both symptomatized with seizure. All abnormalities had same sex distribution.Conclusion: Based on the results of the present study, the most common types of ECG changes were sinus tachycardia, a deep S wave in leads I and aVL, right axis deviation, and longQTc interval, respectively. Brugada pattern and sinus bradycardia were rarely presented.

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    APA: Copy

    ALIZADEH GHAMSARI, ANAHITA, DADPOUR, BITA, & NAJARI, FARES. (2016). FREQUENCY OF ELECTROCARDIOGRAPHIC ABNORMALITIES IN TRAMADOL POISONED PATIENTS, A BRIEF REPORT. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 4(3), 151-154. SID. https://sid.ir/paper/339608/en

    Vancouver: Copy

    ALIZADEH GHAMSARI ANAHITA, DADPOUR BITA, NAJARI FARES. FREQUENCY OF ELECTROCARDIOGRAPHIC ABNORMALITIES IN TRAMADOL POISONED PATIENTS, A BRIEF REPORT. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2016;4(3):151-154. Available from: https://sid.ir/paper/339608/en

    IEEE: Copy

    ANAHITA ALIZADEH GHAMSARI, BITA DADPOUR, and FARES NAJARI, “FREQUENCY OF ELECTROCARDIOGRAPHIC ABNORMALITIES IN TRAMADOL POISONED PATIENTS, A BRIEF REPORT,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 4, no. 3, pp. 151–154, 2016, [Online]. Available: https://sid.ir/paper/339608/en

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