Author/s | Coulson J, Thompson J |
Year | 2014 |
Type of publication | Conference proceeding |
Link | https://doi.org/10.3109/15563650.2014.906213 |
Abstract | Objective: Aconite toxicity is frequently complicated by ventricular dysrhythmia. The current advice cited on TOXBASE® is to “treat arrhythmias conventionally.” This study reviewed the published clinical evidence in order to rationalize the management of aconite-induced ventricular dysrhythmia. Method: A review of the English literature was conducted using the search terms “aconite,” “aconite + poisoning,” and “aconite + dysrhythmia”. Results: Forty cases of probable aconite-induced ventricular dysrhythmia were identified. Conclusion: Consideration should be given to the following: early administration of bicarbonate in the presence of ECG changes; a role for class 1c agents, ideally flecainide, if there is no history of structural heart disease; the importance of prolonged resuscitation. |