TY - BOOK AU - Shah, Ankit B TI - A Cyclist on a Tricyclic: Exercise Intolerance Due to Chronotropic Incompetence SN - 2666-0849 PY - 2022/// KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Union Memorial Hospital KW - Sports & Performance Cardiology Program KW - Case Reports N2 - 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 UR - https://dx.doi.org/10.1016/j.jaccas.2022.05.038 ER -