Aconite poisoning with arrhythmia and shock
A 55-year-old male presented with history of nausea, vomiting, palpitation paresthesis and profuse sweating in emergency department 2 h after ingestion of “Bachnaag” (Aconite) root. Examination revealed shock with irregular pulses. Initial ECG showed frequent multifocal ventricular ectopics (VE), wh...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-09-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483215003545 |
| _version_ | 1831754482664341504 |
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| author | Sandeep Tak Manoj Lakhotia Alok Gupta Amit Sagar Gopal Bohra Rajesh Bajari |
| author_facet | Sandeep Tak Manoj Lakhotia Alok Gupta Amit Sagar Gopal Bohra Rajesh Bajari |
| author_sort | Sandeep Tak |
| collection | DOAJ |
| description | A 55-year-old male presented with history of nausea, vomiting, palpitation paresthesis and profuse sweating in emergency department 2 h after ingestion of “Bachnaag” (Aconite) root. Examination revealed shock with irregular pulses. Initial ECG showed frequent multifocal ventricular ectopics (VE), which later turned to short runs of ventricular tachycardia (VT). Immediate gastric lavage was done and activated charcoal given. Patient was treated with fluid resuscitation without any improvement in blood pressure. Patient was started on nor-adrenaline infusion with gradual recovery from hypotension over a period of 6 h, but support was continued for 48 h. Amiodarone was started to control ventricular excitability, which persisted over 72 h with gradual decrease in frequency of VT and VE. Patient was discharged with normal sinus rhythm on oral amiodarone on 5th day of hospitalization. On follow-up after 2 weeks patient was totally asymptomatic and amiodarone was stopped. |
| first_indexed | 2024-12-21T23:39:39Z |
| format | Article |
| id | doaj.art-8b5c67ee475943c281a43e6643d99f93 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-21T23:39:39Z |
| publishDate | 2016-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-8b5c67ee475943c281a43e6643d99f932022-12-21T18:46:16ZengElsevierIndian Heart Journal0019-48322016-09-0168S2S207S20910.1016/j.ihj.2015.08.010Aconite poisoning with arrhythmia and shockSandeep Tak0Manoj Lakhotia1Alok Gupta2Amit Sagar3Gopal Bohra4Rajesh Bajari5Asso. Professor of Medicine, Dr. S.N. Medical College, Jodhpur, IndiaProfessor of Medicine, Dr. S.N. Medical College, Jodhpur, IndiaProfessor of Medicine, Dr. S.N. Medical College, Jodhpur, IndiaAssistant Professor of Medicine, Dr. S.N. Medical College, Jodhpur, IndiaAssistant Professor of Medicine, Dr. S.N. Medical College, Jodhpur, IndiaResident, Department of Medicine, Dr. S.N. Medical College, Jodhpur, IndiaA 55-year-old male presented with history of nausea, vomiting, palpitation paresthesis and profuse sweating in emergency department 2 h after ingestion of “Bachnaag” (Aconite) root. Examination revealed shock with irregular pulses. Initial ECG showed frequent multifocal ventricular ectopics (VE), which later turned to short runs of ventricular tachycardia (VT). Immediate gastric lavage was done and activated charcoal given. Patient was treated with fluid resuscitation without any improvement in blood pressure. Patient was started on nor-adrenaline infusion with gradual recovery from hypotension over a period of 6 h, but support was continued for 48 h. Amiodarone was started to control ventricular excitability, which persisted over 72 h with gradual decrease in frequency of VT and VE. Patient was discharged with normal sinus rhythm on oral amiodarone on 5th day of hospitalization. On follow-up after 2 weeks patient was totally asymptomatic and amiodarone was stopped.http://www.sciencedirect.com/science/article/pii/S0019483215003545AconiteArrhythmiaShockAmiodaroneCardiotoxicity |
| spellingShingle | Sandeep Tak Manoj Lakhotia Alok Gupta Amit Sagar Gopal Bohra Rajesh Bajari Aconite poisoning with arrhythmia and shock Indian Heart Journal Aconite Arrhythmia Shock Amiodarone Cardiotoxicity |
| title | Aconite poisoning with arrhythmia and shock |
| title_full | Aconite poisoning with arrhythmia and shock |
| title_fullStr | Aconite poisoning with arrhythmia and shock |
| title_full_unstemmed | Aconite poisoning with arrhythmia and shock |
| title_short | Aconite poisoning with arrhythmia and shock |
| title_sort | aconite poisoning with arrhythmia and shock |
| topic | Aconite Arrhythmia Shock Amiodarone Cardiotoxicity |
| url | http://www.sciencedirect.com/science/article/pii/S0019483215003545 |
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