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Heart Disease  (Expert Forum)
 | 
arrhythmia and zoloft
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

arrhythmia and zoloft

by Cathy-Dune, May 10, 1998 12:00AM

  I was diagnosed 5 years ago as having dual aval nodal pathways.  But as
  far as I know, I've only gone into arrhythmia twice in my life --
  the first time was by accident (I ran up a hill and came to a complete stop),
  and the second time was precipitated by a shot of adrenalin -- it was
  during the catheterization procedure to see what was up with my heart.  
  Last week I started taking zoloft -- an anti-depressant -- and felt as if
  I was having heart "problems."  My heart felt like it was pounding; I felt
  sharp pains in my heart every hour or so; one night, I even felt
  shooting pains in  my left arm.  Yet, my pulse rate was normal
  -- between 48 and 60.  (my pulse rate is normally low because I'm a runner.)
  I've since gone off the zoloft (without my psychiatrist's approval --
  but he doesn't believe zoloft shd do this) and feel better.
  Have you heard of anti-depressants such as zoloft causing arrhythmias in
  people w/ my condition?  Should I avoid anti-depressants altogether (i.e.,
  if zoloft does this, will prozac, too?  What abt. St. John's wort?)
  Thanks for your help.
  Cathy
      
    
---------------------------------------------------------------------------------------------------
Dear Cathy:
First of all, sorry for the delayed response.  I was just going through last month’s questions and noticed that no doctor had answered your question.
Palpitations (extra heart beats) are a recognized side effect of Zoloft, and drugs like it (Prozac, Paxil).  I cannot say for sure that this is what you had, but the way to make the diagnosis would have been by wearing a portable EKG machine (a Holter monitor).  
I would not recommend stopping your medicines without consulting your psychiatrist.  Just because you may have had a side effect with one class of medications, that does not mean that other anti-depressants will be problematic for you.  
Information provided here is of a general nature.  Specific diagnoses and treatments can only be made by your doctor.  If you would like to be seen at the Cleveland Clinic, please call 1-800-CCF-CARE for an appointment with a cardiac electrophysiologist at Desk F15.





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