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Special article
DOI: 10.1016/j.rpsmen.2013.12.001
Citalopram, escitalopram and prolonged QT: Warning or alarm?
Citalopram, escitalopram y QT largo: ¿alerta o alarma?
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Enric Álvareza,
Corresponding author
ealvarezm@santpau.cat

Corresponding author.
, Sara Vieiraa, Xavier Garcia-Mollb
a Servicio de Psiquiatría, Hospital de la Santa Creu i Sant Pau, CIBERSAM, IBSantpau, Universitat Autónoma de Barcelona, Barcelona, Spain
b Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, IBSantpau, Universitat Autónoma de Barcelona, Barcelona, Spain
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Abstract

The alerts issued by Regulatory Agencies on the potential cardiac toxicity of citalopram and escitalopram have caused alarm among clinicians. A review of the data concerning this topic shows that the alarm should be limited to patients with a history of syncope or poisoning. As a precautionary measure, an electrocardiogram should be performed on elderly patients.

Keywords:
Citalopram
Escitalopram
QT
Cardiotoxicity
Alert
Resumen

Las alertas generadas por las Agencias reguladoras acerca de la posible toxicidad cardíaca del citalopram y escitalopram han generado alarma entre los clínicos prescriptores. La revisión de los datos acerca de la mencionada toxicidad evidencian que debe limitarse a pacientes con historia clínica de sincopes o en casos de intoxicación. Como medida de precaución debería introducirse la realización de un electrocardiograma en pacientes de edad avanzada.

Palabras clave:
Citalopram
Escitalopram
QT
Cardiotoxicidad
Alerta

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