I'm a 37 yr old male and who has suffered with anxiety for many years. About 2 years ago, I discontinued taking Lexapro (took for about 8 - 10 years) and have been debating taking it again to help with my anxiety. Last year I was diagnosed with an IRBBB/Incomplete Right Brundle Branch Block. I am concerned about Lexapro and it's cardiovascular side effects, especially QT Prolongation which is listed as a potential side effect.
Additionally, I'd like to share that I had an echocardiogram which came back normal. Recently had a comprehensive blood test with normal results except that my cholesterol & triglycerides were a little high. I am a former smoker, quit about 2 years ago.
I'd like to get an opinion from a cardiologist point of view on benefits Vs risks of taking an SSRI with the above in mind.
Congratulations on taking an active role in your medical care. To my knowledge, there is no relation between Lexapro and bundle branch block. Generally, this is not a consideration when prescribing anti-depressants. I cannot disccuss the risks and benefits of any medication or therapy without knowing your complete medical history and performing a history and exam. You should discuss with your doctor your concerns so that he or she can tailor your therapy. Your doctor may consider checking an EKG to determine what your QTc interval is at baseline to determine whether starting Lexapro or a kindred medicine in you would require more intensive monitoring.
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