Open AccessMobitz Type II atrioventricular block following tramadol and fentanyl in a patient with acute coronary syndrome and systolic heart failure
Author(s) -
Alaa Rahhal,
Amer Aljundi,
Abdulrahman Arabi
Publication year - 2017
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/heartviews.heartviews_32_17
Subject(s) - tramadol , medicine , serotonergic , fentanyl , serotonin syndrome , anesthesia , atrioventricular block , serotonin , acute coronary syndrome , cardiology , analgesic , receptor , myocardial infarction
Serotonin syndrome is a potentially fatal condition allied with increased serotonergic activity in the central nervous system. There are published data reporting serotonin syndrome induced by either tramadol or fentanyl in combination with selective serotonin reuptake inhibitors in adult patients; however, there are no reports of serotonin syndrome resulting from the combination of tramadol and fentanyl. We report a case of a 52-year-old woman who was admitted to cardiology service and who developed Mobitz Type II atrioventricular (AV) block after administration of oral tramadol and intravenous fentanyl.