articipants: Seventy-two adult and pediatric patients with serum carbamazepine concentrations greater than 12 μg/ml and concurrent 12-lead ECGs.
Results: The mean carbamazepine level was 24 μg/ml (range, 12.6 to 55 μg/ml). Minor ECG abnormalities were noted but no clinically significant arrhythmias were found. No correlation was found between carbamazepine concentration and heart rate or PR, QRS, or corrected QT intervals. Four adult patients had transient hypotension.
Conclusion: Clinically significant cardiovascular toxicity occurs rarely in patients with toxic carbamazepine concentrations. ECG findings do not correlate with serum carbamazepine concentration.