Cardiovascular effects of tricyclic antidepressants.

Abstract:

:Overdoses of tricyclic antidepressants (TCAs) leave no doubt that TCA drugs at high concentrations have serious cardiac effects. It has been assumed that, to a lesser extent, these effects will occur at usual therapeutic concentration. Recent prospective, plasma-level-controlled studies have improved our understanding of these drugs and proved these assumptions to be inaccurate. The most common serious cardiovascular complication of most tricyclic drugs is orthostatic hypotension. Tricyclic antidepressants are essentially free of any other serious adverse effects in depressed patients without cardiovascular disease. In patients with preexisting bundle-branch disease, there is a risk of heart block. On the other hand, patients with ventricular arrhythmias are likely to have their arrhythmias improve with TCA therapy. Finally, therapeutic doses of TCA have little adverse effect on left ventricular performance, but at least with imipramine there is a dramatic increase in orthostatic hypotension in those patients with impaired left ventricular function. Understanding these principles, TCA drugs can often be used to benefit depressed patients with overt heart disease.

journal_name

Annu Rev Med

authors

Glassman AH

doi

10.1146/annurev.me.35.020184.002443

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

503-11

eissn

0066-4219

issn

1545-326X

journal_volume

35

pub_type

杂志文章,评审
  • Goals of inpatient treatment for psychiatric disorders.

    abstract::The purpose of the psychiatric hospital changed dramatically during the twentieth century. Formerly the primary location for psychiatric treatment, the hospital now plays a more circumscribed role within a community-based system of care. Crisis stabilization, safety, and a focus on rapid discharge are the critical com...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.042607.080257

    authors: Sharfstein SS

    更新日期:2009-01-01 00:00:00

  • Catastrophic Antiphospholipid Syndrome: Candidate Therapies for a Potentially Lethal Disease.

    abstract::Catastrophic antiphospholipid syndrome (CAPS) is a potentially lethal disease that presents with rapidly progressive multiple organ thromboses. Anticoagulation, corticosteroids, intravenous immunoglobulin, and plasma exchange are the most commonly used treatments for CAPS patients. However, the high mortality despite ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-042915-102529

    authors: Unlu O,Erkan D

    更新日期:2017-01-14 00:00:00

  • Effects of anesthesia on intermediary metabolism.

    abstract::Major inhalational anesthetics cause inhibition in the electron transport chain in the region of Complex I resulting in decreased oxygen utilization, inhibition of metabolism of NAD-linked substrates, but not of succinate, inhibition of mitochondrial calcium uptake, and depression of synaptic transmission because of p...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.26.020175.002135

    authors: Brunner EA,Cheng SC,Berman ML

    更新日期:1975-01-01 00:00:00

  • Pathogenesis of macrophage activation syndrome and potential for cytokine- directed therapies.

    abstract::Macrophage activation syndrome (MAS) is an acute episode of overwhelming inflammation characterized by activation and expansion of T lymphocytes and hemophagocytic macrophages. In rheumatology, it occurs most frequently in patients with systemic juvenile idiopathic arthritis (SJIA) and systemic lupus erythematosus. Th...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061813-012806

    authors: Schulert GS,Grom AA

    更新日期:2015-01-01 00:00:00

  • Implementing a research agenda for complementary and alternative medicine.

    abstract::Complementary and alternative medicine (CAM) consists of diverse clinical interventions that are practiced because of their popularity rather than the prior demonstration of safety and efficacy required for conventional agents. CAM therapies can be grouped into five categories: biologically based therapies, manipulati...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.55.091902.103657

    authors: Berman JD,Straus SE

    更新日期:2004-01-01 00:00:00

  • The genetics of multiple endocrine neoplasia syndromes.

    abstract::The familial nature of multiple endocrine neoplasia syndromes (FMEN) has been recognized for some time but little is known about their cause. Recent application of new molecular techniques has mapped FMEN syndromes to specific chromosomes and provided evidence for the mechanism through which neoplasia occurs. In this ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.43.020192.001345

    authors: Nanes MS,Catherwood BD

    更新日期:1992-01-01 00:00:00

  • Airway surface dehydration in cystic fibrosis: pathogenesis and therapy.

    abstract::Cystic fibrosis (CF) lung disease reflects the failure of airways defense against chronic bacterial infection. Studies of CF cultures, transgenic mice, and CF patients suggest that the initiating event in CF airways disease pathogenesis is reduced airway surface liquid (ASL) volume, i.e., dehydration. CF ASL volume re...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.58.071905.105316

    authors: Boucher RC

    更新日期:2007-01-01 00:00:00

  • Barrett's Esophagus and esophageal adenocarcinoma.

    abstract::The incidence of esophageal adenocarcinoma (EAC) has risen dramatically over the past three decades in western countries. The importance of Barrett's esophagus (BE) derives from its potential to transform to adenocarcinoma. BE is characterized by endoscopically recognized displacement of the squamocolumnar junction pr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.59.061206.112706

    authors: Bresalier RS

    更新日期:2009-01-01 00:00:00

  • CD40 Agonist Antibodies in Cancer Immunotherapy.

    abstract::CD40 is a cell-surface member of the TNF (tumor necrosis factor) receptor superfamily. Upon activation, CD40 can license dendritic cells to promote antitumor T cell activation and re-educate macrophages to destroy tumor stroma. Numerous agonist CD40 antibodies of varying formulations have been evaluated in the clinic ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-062518-045435

    authors: Vonderheide RH

    更新日期:2020-01-27 00:00:00

  • The surgical management of atrial fibrillation.

    abstract::Atrial fibrillation is the most common dysrhythmia encountered in clinical practice. For some patients, satisfactory rate control is not possible by pharmacologic means. This led us to develop a surgical approach to its cure, which in turn has led to a deeper understanding of the electrophysiologic basis of atrial fib...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.511

    authors: Cox JL,Sundt TM 3rd

    更新日期:1997-01-01 00:00:00

  • Management of adult idiopathic thrombocytopenic purpura.

    abstract::Idiopathic thrombocytopenic purpura (ITP) is a common hematologic disorder manifested by immune-mediated thrombocytopenia. The diagnosis remains one of exclusion, after other thrombocytopenic disorders are ruled out based on history, physical examination, and laboratory evaluation. The goal of treatment is to raise th...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.56.082103.104644

    authors: Cines DB,McMillan R

    更新日期:2005-01-01 00:00:00

  • Pathogenesis of human cystic renal disease.

    abstract::Cystic diseases of the kidney are common, often progressive disorders. The best of several alternative hypotheses to explain their development cites tubular dilation and compression of adjacent tissue. The initiating event may involve focal proliferation of epithelial cells and a consequent increase in the resistance ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.39.020188.001153

    authors: Gardner KD Jr

    更新日期:1988-01-01 00:00:00

  • Ductal carcinoma in situ of the breast.

    abstract::Ductal carcinoma in situ of the breast is a heterogeneous group of lesions with diverse malignant potential. It is the most rapidly growing subgroup in the breast cancer family; it is projected that more than 39,000 new cases will be diagnosed in the United States during 1999. Most new cases are nonpalpable and are di...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.51.1.17

    authors: Silverstein MJ

    更新日期:2000-01-01 00:00:00

  • Computed Tomography Scanning for Early Detection of Lung Cancer.

    abstract::Parallel and often unrelated developments in health care and technology have all been necessary to bring about early detection of lung cancer and the opportunity to decrease mortality from lung cancer through early detection of the disease by computed tomography. Lung cancer screening programs provide education for pa...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-020917-053556

    authors: Jacobson FL,Jaklitsch MT

    更新日期:2018-01-29 00:00:00

  • Molecular genetics and pathogenesis of autosomal dominant polycystic kidney disease.

    abstract::Autosomal dominant polycystic kidney disease (ADPKD) is a common and systemic disease characterized by formation of focal cysts. Of the three potential causes of cysts, downstream obstruction, compositional changes in extracellular matrix, and proliferation of partially dedifferentiated cells, evidence strongly suppor...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.52.1.93

    authors: Arnaout MA

    更新日期:2001-01-01 00:00:00

  • Middle East Respiratory Syndrome: Emergence of a Pathogenic Human Coronavirus.

    abstract::In 2012, a zoonotic coronavirus was identified as the causative agent of Middle East respiratory syndrome and was named MERS coronavirus (MERS-CoV). As of August 11, 2016, the virus has infected 1,791 patients, with a mortality rate of 35.6%. Although MERS-CoV generally causes subclinical or mild disease, infection ca...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-051215-031152

    authors: Fehr AR,Channappanavar R,Perlman S

    更新日期:2017-01-14 00:00:00

  • Parenteral and enteral nutrition.

    abstract::Stress and starvation, especially when complicated by sepsis, will give rise to a rapid erosion of the cellular mass, which significantly affects morbidity and mortality. The best clinical evaluation of the nutritional state is obtained from the medical history and the physical examination. In the patient who cannot e...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.42.020191.003001

    authors: Shizgal HM

    更新日期:1991-01-01 00:00:00

  • Induction of hemoglobin F synthesis in patients with beta thalassemia.

    abstract::5-Azacytidine transiently augments fetal hemoglobin production in patients with beta-thalassemia or sickle cell anemia. This change would probably be beneficial to such patients (e.g. a normal fetal gene product is substituted for a deficient or defective adult gene product) if HbF production could be sustained at hig...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.36.020185.002413

    authors: Ley TJ,Nienhuis AW

    更新日期:1985-01-01 00:00:00

  • Initiating events of acute coronary arterial occlusion.

    abstract::Acute myocardial infarction is caused by coronary thrombosis on an ulcerated atheroma. We now believe that the predominant cause of this intimal disruption is the rupture of the atheroma through the intimal surface, caused by enzymes released by activated macrophages. The subsequent clinical course following atheroma ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.42.020191.000343

    authors: Forrester JS,Litvack F,Grundfest W

    更新日期:1991-01-01 00:00:00

  • The role of inflammation and infection in coronary artery disease.

    abstract::New insights into atherosclerosis, the most common disease affecting coronary arteries, may change therapeutic strategies from largely symptomatic to causal. Atherosclerotic plaques contain a lipid-related, immune-mediated inflammation, with release of secretory products capable of changing plaque morphology. Plaques ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.52.1.289

    authors: Becker AE,de Boer OJ,van Der Wal AC

    更新日期:2001-01-01 00:00:00

  • Biological Aspects of Cancer Health Disparities.

    abstract::Racial and ethnic disparities span the continuum of cancer care and are driven by a complex interplay among social, psychosocial, lifestyle, environmental, health system, and biological determinants of health. Research is needed to identify these determinants of cancer health disparities and to develop interventions t...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev-med-070119-120305

    authors: Freedman JA,Al Abo M,Allen TA,Piwarski SA,Wegermann K,Patierno SR

    更新日期:2021-01-27 00:00:00

  • Thyroid cancer.

    abstract::Thyroid cancer is rapidly increasing in incidence, but the mortality rate remains flat. Debate has arisen over the need to detect or treat most thyroid cancers early, given their favorable natural history. The appropriate extent of surgery for thyroid cancer is also controversial: some researchers advocate partial and...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061512-105739

    authors: Carling T,Udelsman R

    更新日期:2014-01-01 00:00:00

  • Cardiac Pacing and Defibrillation Devices: Cost and Effectiveness.

    abstract::Implantable cardiac pacing and defibrillation devices are effective and commonly used therapies for patients with cardiac rhythm disorders. Because device implantation is not easily reversible, as well as the high healthcare costs inherent in device use, a clear understanding of the clinical benefits relative to costs...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-043015-123540

    authors: Groeneveld PW,Dixit S

    更新日期:2017-01-14 00:00:00

  • Thrombopoietin: understanding and manipulating platelet production.

    abstract::Until recently, platelet production was the least understood aspect of blood cell development. This gap in our understanding resulted from the scarcity of megakaryocytes, the marrow precursor of blood platelets, and from confusion surrounding the cytokines and hormones that support their development. The recent clonin...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.1

    authors: Kaushansky K

    更新日期:1997-01-01 00:00:00

  • The changing face of tuberculosis.

    abstract::Tuberculosis (TB) remains an important public health problem worldwide, resulting in a estimated 8 to 10 million new cases and 2 to 3 million deaths each year. Between 1953 and 1985, the number of TB cases in the US declined by an average of 6% per year. However, since 1985, TB has been increasing in the US. Approxima...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.46.1.47

    authors: Huebner RE,Castro KG

    更新日期:1995-01-01 00:00:00

  • Neuropeptides and inflammation: the role of substance P.

    abstract::The neuropeptide substance P modulates the activities of a number of different leukocytes that characterize both acute and delayed inflammatory responses. Substance P may play a role in the pathogenesis of such diverse diseases as arthritis, asthma, and inflammatory bowel disease. ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.40.020189.002013

    authors: Payan DG

    更新日期:1989-01-01 00:00:00

  • Genetics of non-insulin-dependent (type-II) diabetes mellitus.

    abstract::Both genetic and environmental factors contribute to the etiology of non-insulin-dependent diabetes. The genetic component is heterogeneous and in some patients is probably complex, involving multiple genes. Specific genetic defects have been identified for rate monogenic forms of NIDDM: maturity-onset diabetes of the...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.47.1.509

    authors: Kahn CR,Vicent D,Doria A

    更新日期:1996-01-01 00:00:00

  • The HapMap and genome-wide association studies in diagnosis and therapy.

    abstract::The International HapMap Project produced a genome-wide database of human genetic variation for use in genetic association studies of common diseases. The initial output of these studies has been overwhelming, with over 150 risk loci identified in studies of more than 60 common diseases and traits. These associations ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.061907.093117

    authors: Manolio TA,Collins FS

    更新日期:2009-01-01 00:00:00

  • Update on typical and atypical antipsychotic drugs.

    abstract::Antipsychotic drugs (APDs) are best classified as typical or atypical. The distinction is based solely on their ability to cause extrapyramidal side effects (EPS), including tardive dyskinesia (TD). The two classes differ in mechanism of action, with atypical APDs providing important modulation of serotonergic neurotr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-050911-161504

    authors: Meltzer HY

    更新日期:2013-01-01 00:00:00

  • Arrhythmogenic Right Ventricular Cardiomyopathy: Progress Toward Personalized Management.

    abstract::Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an inherited heart disease characterized by fibrofatty replacement of the ventricular myocardium, a high risk of ventricular arrhythmias, and progressive ventricular dysfunction. The clinical course is highly variable, and optimal approaches to management remai...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,meta分析

    doi:10.1146/annurev-med-041217-010932

    authors: James CA,Calkins H

    更新日期:2019-01-27 00:00:00