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Published on March 11, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2007.173104
© 2008 European Association of Cardio-Thoracic Surgery

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Cardiac general

Serotonin syndrome following cardiac surgery

Ganesh Shanmugam 1*, Blaine Kent 1, Sarah Kirby 1, Roger Baskett 1

1 QEII Hospital, Halifax Infirmary, Nova Scotia, Canada

* To whom correspondence should be addressed. E-mail: sgunpat{at}hotmail.com.


   Abstract
Selective serotonin reuptake inhibitors (SSRIs) are widely used to treat depression. We report a case of serotonin syndrome following cardiac surgery. This syndrome is rare in the cardiac literature. The clinical features, diagnosis and management of this unusual syndrome are described. In patients with polypharmacy, it is important to take cognizance of serotonergic antidepressants and anticipate their potential interactions with drugs used peri-operatively. Early recognition and treatment is important as this condition is potentially fatal. Keywords: Serotonin syndrome; Mitral valve replacement; Paroxetine





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