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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">ppan</journal-id><journal-title-group><journal-title xml:lang="en">Personalized Psychiatry and Neurology</journal-title><trans-title-group xml:lang="ru"><trans-title>Personalized Psychiatry and Neurology</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2712-9179</issn><publisher><publisher-name>V. M. Bekhterev National Medical Research Centre for Psychiatry and Neurology of the Ministry of Health of the Russian Federation (Bekhterev NMRC PN)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52667/2712-9179-2025-5-3-18-33</article-id><article-id custom-type="elpub" pub-id-type="custom">ppan-140</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ARTICLE</subject></subj-group></article-categories><title-group><article-title>A Sociological Study of Awareness of Practitioning Physicians about the Cardiosafety of Antidepressants</article-title><trans-title-group xml:lang="ru"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Makarov</surname><given-names>Evgeni A.</given-names></name></name-alternatives><bio xml:lang="en"><p>192019 St. Petersburg; 197349 St. Petersbur</p></bio><email xlink:type="simple">tolsur@vk.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Shnayder</surname><given-names>Natalia A.</given-names></name></name-alternatives><bio xml:lang="en"><p>192019 St. Petersburg; 660022 Krasnoyarsk</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Petrova</surname><given-names>Marina M.</given-names></name></name-alternatives><bio xml:lang="en"><p>660022 Krasnoyarsk</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Garganeeva</surname><given-names>Natalia P.</given-names></name></name-alternatives><bio xml:lang="en"><p>634050 Tomsk</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="western" xml:lang="en"><surname>Lareva</surname><given-names>Natalia V.</given-names></name></name-alternatives><bio xml:lang="en"><p> 672000 Chita</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff xml:lang="en" id="aff-1"><institution>V. M. Bekhterev National Medical Research Centre for Psychiatry and Neurology; St. Petersburg City Hospital of the Holy Martyr Elizabeth</institution><country>Russian Federation</country></aff><aff xml:lang="en" id="aff-2"><institution>V. M. Bekhterev National Medical Research Centre for Psychiatry and Neurology; V.F. Voino-Yasenetsky Krasnoyarsk State Medical University</institution><country>Russian Federation</country></aff><aff xml:lang="en" id="aff-3"><institution>V.F. Voino-Yasenetsky Krasnoyarsk State Medical University</institution><country>Russian Federation</country></aff><aff xml:lang="en" id="aff-4"><institution>Siberian State Medical University</institution><country>Russian Federation</country></aff><aff xml:lang="en" id="aff-5"><institution>Chita State Medical University</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>06</day><month>10</month><year>2025</year></pub-date><volume>5</volume><issue>3</issue><fpage>18</fpage><lpage>33</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Makarov E.A., Shnayder N.A., Petrova M.M., Garganeeva N.P., Lareva N.V., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Makarov E.A., Shnayder N.A., Petrova M.M., Garganeeva N.P., Lareva N.V.</copyright-holder><copyright-holder xml:lang="en">Makarov E.A., Shnayder N.A., Petrova M.M., Garganeeva N.P., Lareva N.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.jppn.ru/jour/article/view/140">https://www.jppn.ru/jour/article/view/140</self-uri><abstract><p>Prediction and prevention of cardiotoxic adverse reactions in neurological diseases is a pressing issue due to necessity for long-term use of antidepressant drugs. The aim of the study was to examine the quantity of antidepressant prescriptions, observation of adverse events (especially cardiovascular ones) and the caution in prescribing by practicing neurologists compared with physicians of other specialties. Materials and methods: 97 physicians of various specialties participated in the survey. After excluding physicians who did not use antidepressants in their practice, the participants were divided into two groups: neurologists and physicians of other specialties. Differences in responses between the two groups were assessed with the Pearson chi-square test (χ2) and the Kruskal-Wallis test. Results. The analysis of a survey of physicians using antidepressants in their clinical practice revealed the statistically significant differences between neurologists and physicians of other specialties who participated in the study. Neurologists tend to underestimate the cardiotoxicity of antidepressant medications (particularly SSRIs), which can lead to a potentially fatal complication—ventricular tachycardia (Torsade de Pointes). A statistically significant difference in awareness of the diagnostic criteria for long QT syndrome was found in medical practice of neurologists and physicians in other specialties. Conclusion. As a result of the analysis the obtained results, the following ways of improving the dispensary observation of patients on antidepressants were: increasing awareness and alertness of practicing physicians about the long QT syndrome; ECG monitoring before and during taking antidepressants; collection of family history and life history in patients before prescribing antidepressants. Presence of tachycardia, syncope, or anoxic seizures in a patient taking antidepressants can arise suspicion for TdP, a potentially fatal complication of QT syndrome; it requires immediate discontinuation of the drug, replacement with a less cardiotoxic one, 24-hour Holter ECG monitoring, and pharmacogenetic testing.</p></abstract><kwd-group xml:lang="en"><kwd>antidepressants</kwd><kwd>selective serotonin reuptake inhibitors</kwd><kwd>cardiosafety</kwd><kwd>circumspection</kwd><kwd>adverse drug reactions</kwd><kwd>long QT syndrome</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Drug-induced long QT syndrome in psychiatry and neurology / Ed. Nasyrova, R.F.; Neznanov, N.G.; Shnayder, N.A.; Petrova, M.M. - St. Petersburg: DEAN Publishing House, 2024. - 592 p. 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