
Can Lexapro Cause QT Prolongation?

I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that this adverse effect of Lexapro is dose dependent, which means that it usually occurs in high doses ( above 40mg daily for young and healthy individuals or above 20mg daily for patients older than 60 years old).
What is the dose of Lexapro that you are taking?
QT prolongation is usually detected by a resting ECG. But you can also feel increased palpitations during the day, which can be registered by performing a Holter monitoring.
Anyway, usually when used in young patients like you, with a normal resting ECG and cardiac ultrasound in doses lower than 40mg daily, there is nothing to worry about!
Hope you will find this answer helpful!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri


Everything is going to be OK!
Detailed Answer:
Hello again!
This is a low dose of Lexapro and there is no chance that any changes in your ECG will occur.
As your ECG is normal, there is nothing to worry about!
So relax and don't worry about it! I recommend continue on this dose, because it is really safe!
Hope to have clarified your uncertainties!
Wishing all the best,
Dr. Iliri


Pain* just below my sternum
Your symptoms are not related to any cardiac disorders.
Detailed Answer:
Hello again!
I understand your concern and would explain that your symptoms are not related to any cardiac disorders (including myocardial ischemia) or Lexapro.
So relax and don't worry about it!
Coming to this point I would recommend performing further tests to investigate for the possible underlying causes like inflammation, costochondritis, or gastroesophageal reflux.
Anxiety could also mimic this clinical scenario.
I would recommend trying an antiacid or omeprazole. If your symptoms are relieved by this drug, it would indicate possible gastroesophageal reflux. A fibrogastroscopy would be needed in such case.
A chest X ray study and inflammation tests (complete blood count, PCR, sedimentation rate) would help exclude inflammation or a lung disorder.
If all the above tests result normal, you should consider uncontrolled anxiety as a possible cause of all your troubles.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri


Your symptoms are not related to coronary artery disease
Detailed Answer:
Hello again!
As a cardiologists, I would reasure you that your symptoms are not related to any cardiac disorder( including coronary artery disease).
Your performed cardiac tests can confirm this.
So relax and don't worry about it!
I recommend you to focus on your anxiety, because it seems to be the main cause of your troubles.
Hope you will find this answer helpful!
Regards,
Dr.Iliri


I would recommend following a healthy lifestyle.
Detailed Answer:
Hello again!
As all your cardiac performed tests have resulted normal scad has been excluded.
So, there is nothing to worry about!
I would only recommend some lifestyle modifications in order to have a low cardio-vascular risk in the future:
- a healthy diet (Mediterranean diet is recommendable)
- avoid smoking contacts and alcohol
- perform a lot of physical activity (walking, aerobics, recreational sports, etc.)
- reduce your weight if you are overweight.
With a healthy lifestyle, everything is going to be OK!
Hope to have clarified some of your uncertainties!
Wishing all the best,
Dr. Iliri

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