Patient's Query
Hello doctor,
Is it safe to start Sertraline if I have premature ventricular contractions? My PVCs tend to get worse when I experience strong emotions, like anger, panic attacks, or crying. My psychiatrist suggested Sertraline, but I have heard it can cause arrhythmia. Is PVC already a type of arrhythmia? I had an echocardiogram in November after being hospitalized for PVCs (Postural tachycardia syndrome), and everything came back normal except for mild LVH and mild mitral valve regurgitation. I am worried that starting this antidepressant might make my PVCs worse or lead to a more serious arrhythmia or even sudden cardiac arrest (SCA).
Kindly help.
Hello,
Welcome to icliniq.com.
I understand your concern.
Premature ventricular contractions (PVCs) are a type of arrhythmia where the heart beats early from the ventricles. While PVCs are common and usually harmless, they can get worse with stress, anxiety, or strong emotions. Sertraline is an antidepressant commonly used to treat anxiety and depression.
Research shows that Sertraline is generally safe for people with heart conditions, according to the American Medical Association. The British Heart Foundation also recommends Sertraline as the first-choice antidepressant for people with heart disease.
However, there have been rare reports of serious arrhythmias, like QT prolongation and Torsades de Pointes, in patients taking Sertraline. While these cases are rare, it is important to be cautious.
You should start Sertraline carefully, with close monitoring by your healthcare provider. This may include baseline and follow-up electrocardiograms (ECGs) to check for any changes in your heart. It is also important to monitor potassium and magnesium levels, as imbalances can increase the risk of arrhythmias.
Although Sertraline is usually safe for people with your condition, it is important to discuss all your medications with both your cardiologist and psychiatrist. Each should be aware of the other medications you are taking.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Was this conversation helpful?
Answered byDr. Nawrin Hossain
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
What are the causes of premature ventricular contractions?
Do Sertraline tablets cause erectile dysfunction?
Is sinus arrhythmia a serious condition?
Is cardiac arrhythmias a life-threatening condition?
Ablation Therapy for Arrhythmias- Types, Methods, Procedure, Risk Factors
Can Sertraline cause acid reflux and pain in the throat?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.