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Europace 2003 5(3):313-315; doi:10.1016/S1099-5129(03)00028-X
© 2003 by European Society of Cardiology
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CASE REPORT

Prolonged asystole during head-up tilt testing with clomipramine infusion

D. I. Leftheriotis, G. N. Theodorakis and D. Th. Kremastinos

2nd Department of Cardiology, Onassis Cardiac Surgery Center Athens, Greece

This case report describes a patient with a history of neurocardiogenic syncope, who had had a negative head-up tilt test with isoprenaline, but he experienced a prolonged asystole during a head-up tilt test with clomipramine (serotonin reuptake inhibitor) 24 h later. This patient was successfully treated with fluoxetine.

Key Words: Neurocardiogenic syncope, clomipramine, tilt-test

Correspondence: Dionyssios I. Leftheriotis, MD, Onassis Cardiac Surgery Center, 2nd Department of Cardiology, 356 Syngrou Ave, 176 74 Athens, Greece. Tel.: +30-210-9493-372/000; Fax: +30-210-9493-373; E-mail: elbee{at}ath.forthnet.gr


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