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Am J Psychiatry 1975; 132:542-545
Copyright © 1975 by American Psychiatric Association


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Imipramine and electrocardiographic abnormalities in hyperactive children

BG Winsberg, S Goldstein, LE Yepes and JM Perel

The authors report seven cases of electrocardiographic abnormalities occurring in 7- to 10-year-old children receiving imipramine pharmacotherapy for behavior disorders. Three of the children evidenced a first-degree atrioventricular block. The abnormalities were less pronounced in the other four children. Imipramine plasma levels during steady state were not found to be directly related to the extent of the electrocardiographic changes within the obtained plasma values. The authors emphasize the necessity of careful clinical surveillance of children receiving imipramine pharmacotherapy.


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B. G. Winsberg, L. E. Yepes, and I. Bialer
Pharmacologic Management of Children with Hyperactive/Aggressive/Inattentive Behavior Disorders: Suggestions for the Pediatrician
Clinical Pediatrics, May 1, 1976; 15(5): 471 - 477.
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