Several parameters of heart rate variability (HRV) have been used to e
stablish functional criteria of cardiovascular autonomic alteration. i
n the past years, the impact of antidepressant psychotropic drugs on H
RV parameters have been investigated systematically. It has been shown
concordantly that HRV is significantly decreased under the condition
of treatment with tricyclic antidepressants (TCA). This is probably du
e to the strong anticholinergic side effect of TCA, because treatment
with clozapine caused a similar effect on HRV. On the other hand, trea
tment with selective inhibitors of serotonin (SSRI) reuptake did not c
hange HRV.