A Cyclist on a Tricyclic: Exercise Intolerance Due to Chronotropic Incompetence. - 2022

Depression in athletes is prevalent, and antidepressant treatment may have a cardiovascular impact. We present a case, documented by serial exercise testing, of exertional intolerance due to chronotropic incompetence associated with tricyclic antidepressant use. This case underscores the importance of understanding the mechanism of action and side effects of antidepressants. (Level of Difficulty: Advanced.). Copyright © 2022 The Authors.


English

2666-0849

10.1016/j.jaccas.2022.05.038 [doi] PMC9588449 [pmc] S2666-0849(22)00578-2 [pii]


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MedStar Union Memorial Hospital


Sports & Performance Cardiology Program


Case Reports