Serotonin syndrome in a postoperative patient
Depression is common in patients with ischemic heart disease. According to mental health surveys, approximately one-fifth of the patients with angiographic evidence of coronary artery disease have major depression. [1] It is well-recognized that stigma associated with mental disorders leads to indiv...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=2;spage=233;epage=235;aulast=Choudhury |
| _version_ | 1819010712659296256 |
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| author | Minati Choudhury Milind P Hote Yashwant Verma |
| author_facet | Minati Choudhury Milind P Hote Yashwant Verma |
| author_sort | Minati Choudhury |
| collection | DOAJ |
| description | Depression is common in patients with ischemic heart disease. According to mental health surveys, approximately one-fifth of the patients with angiographic evidence of coronary artery disease have major depression. [1] It is well-recognized that stigma associated with mental disorders leads to individuals avoiding treatment or concealing treatment for them. We report a case of serotonin syndrome that occurred during postoperative period in a patient who underwent coronary artery bypass grafting. The patient was receiving 60 mg/day fluoxetine for the last 4 years, which she and her attendants concealed during the preoperative evaluation. To our knowledge this is the first case of serotonin syndrome, reported in biomedical literature, in a postoperative patient. We suggest that history taking should also focus on antidepressant drug intake by patients. If serotonin syndrome occurs in such patients aggressive and timely management can help avert mortality. |
| first_indexed | 2024-12-21T01:16:37Z |
| format | Article |
| id | doaj.art-9168384832ca4a2b9b6798e62caff383 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-21T01:16:37Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-9168384832ca4a2b9b6798e62caff3832022-12-21T19:20:46ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852011-01-0127223323510.4103/0970-9185.81825Serotonin syndrome in a postoperative patientMinati ChoudhuryMilind P HoteYashwant VermaDepression is common in patients with ischemic heart disease. According to mental health surveys, approximately one-fifth of the patients with angiographic evidence of coronary artery disease have major depression. [1] It is well-recognized that stigma associated with mental disorders leads to individuals avoiding treatment or concealing treatment for them. We report a case of serotonin syndrome that occurred during postoperative period in a patient who underwent coronary artery bypass grafting. The patient was receiving 60 mg/day fluoxetine for the last 4 years, which she and her attendants concealed during the preoperative evaluation. To our knowledge this is the first case of serotonin syndrome, reported in biomedical literature, in a postoperative patient. We suggest that history taking should also focus on antidepressant drug intake by patients. If serotonin syndrome occurs in such patients aggressive and timely management can help avert mortality.http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=2;spage=233;epage=235;aulast=ChoudhuryCardiac surgeryfluoxetineserotonin syndrome |
| spellingShingle | Minati Choudhury Milind P Hote Yashwant Verma Serotonin syndrome in a postoperative patient Journal of Anaesthesiology Clinical Pharmacology Cardiac surgery fluoxetine serotonin syndrome |
| title | Serotonin syndrome in a postoperative patient |
| title_full | Serotonin syndrome in a postoperative patient |
| title_fullStr | Serotonin syndrome in a postoperative patient |
| title_full_unstemmed | Serotonin syndrome in a postoperative patient |
| title_short | Serotonin syndrome in a postoperative patient |
| title_sort | serotonin syndrome in a postoperative patient |
| topic | Cardiac surgery fluoxetine serotonin syndrome |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=2;spage=233;epage=235;aulast=Choudhury |
| work_keys_str_mv | AT minatichoudhury serotoninsyndromeinapostoperativepatient AT milindphote serotoninsyndromeinapostoperativepatient AT yashwantverma serotoninsyndromeinapostoperativepatient |