A perfect refractory electrical storm by acute toxicity of accidental aconitine intake
| العنوان: | A perfect refractory electrical storm by acute toxicity of accidental aconitine intake |
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| المؤلفون: | Roberto Baronti, Maria Luisa Matteucci, Simone Vanni, Luigi Gori, Paola Bartolucci, Francesco Gambassi, Attilio Del Rosso, Guido Mannaioni, Francesca Menichetti, Alessandra Ieri |
| المصدر: | Emergency Care Journal, Vol 17, Iss 2 (2021) |
| بيانات النشر: | PAGEPress Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Medicine (General), Aconitum, business.industry, 010401 analytical chemistry, toxicity, traditional medicine, ventricular fibrillation, 01 natural sciences, Acute toxicity, 0104 chemical sciences, 03 medical and health sciences, chemistry.chemical_compound, R5-920, 0302 clinical medicine, chemistry, Refractory, cardiac arrhythmias, Anesthesia, Accidental, cardiovascular system, Aconitine, Medicine, cardiovascular diseases, 030216 legal & forensic medicine, business |
| الوصف: | A 51-years-old male presented with drooling, hematemesis and diarrhea in emergency department after accidental ingestion of homemade aconitine tincture. Examination revealed shock and initial ECG showed atrial fibrillation. The patient suddenly developed a pulseless wide QRS complex tachycardia requiring resuscitation maneuvers. The rhythm varied from monomorphic ventricular tachycardia to torsade de point to ventricular fibrillation. Repeated direct-current cardioversions were unsuccessful. After intravenous electrolyte correction and anti-arrhythmic drugs administration, a last direct-current shock was finally successful. Bradycardia and ventricular excitability persisted over 12 hours with gradual normalization. Patient was discharged in normal sinus rhythm without any medication and on follow-up he was totally asymptomatic. With the increasing popularity of traditional medicine, clinicians should be alerted to the risk of herbal substances with low margins of safety like Aconitum in order to allow correct diagnosis and treatment. The general public should be educated that herbal medicine is not always safe. |
| تدمد: | 2282-2054 1826-9826 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3f2ea88ed619079db8ad0e8489e49451Test https://doi.org/10.4081/ecj.2021.9736Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3f2ea88ed619079db8ad0e8489e49451 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22822054 18269826 |
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