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Gepubliceerd in: Netherlands Heart Journal 3/2008

01-03-2008 | Case report

Salade malade: malignant ventricular arrhythmias due to an accidental intoxication with Aconitum napellus

Auteurs: B. J. Weijters, R. J. A. M. Verbunt, J. Hoogsteen, R. F. Visser

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2008

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Abstract

Intoxication with Aconitum napellus is rare in our regions. Aconite alkaloids can cause ventricular arrhythmia by a prolonged activation of sodium channels. Because the margin of safety is low between the analgesic and toxic dose, intoxication is not rare when Aconite is used in herbal medicine. We present a case in which a 39-year-old male was accidentally intoxicated with Aconite. Even though no antidote or adequate therapy is available he was successfully resuscitated. (Neth Heart J 2008;16: 96-9.)
Literatuur
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go back to reference Tai YT, But PPH, Young KY, Lau CP. Cardiotoxicity after accidental herb-induced aconite poisoning. Lancet 1992;340: 1254-56. Tai YT, But PPH, Young KY, Lau CP. Cardiotoxicity after accidental herb-induced aconite poisoning. Lancet 1992;340: 1254-56.
2.
go back to reference Imazio M, Belli R, Pomari F, et al. Malignant ventricular arrhythmias due to Aconitum napellus seeds. Circulation 2000;192: 2907. Imazio M, Belli R, Pomari F, et al. Malignant ventricular arrhythmias due to Aconitum napellus seeds. Circulation 2000;192: 2907.
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go back to reference Yeih DF, Chiang FT, Huang SKS. Successful treatment of aconitine induced life threatening ventricular tachyarrhythmia with amiodarone. Heart 2000;84:e8. Yeih DF, Chiang FT, Huang SKS. Successful treatment of aconitine induced life threatening ventricular tachyarrhythmia with amiodarone. Heart 2000;84:e8.
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go back to reference Lin CC, Chan TYK, Deng JF. Clinical features and management of herb-induced aconitine poisoning. Ann Emerg Med 2004;43: 574-9. Lin CC, Chan TYK, Deng JF. Clinical features and management of herb-induced aconitine poisoning. Ann Emerg Med 2004;43: 574-9.
Metagegevens
Titel
Salade malade: malignant ventricular arrhythmias due to an accidental intoxication with Aconitum napellus
Auteurs
B. J. Weijters
R. J. A. M. Verbunt
J. Hoogsteen
R. F. Visser
Publicatiedatum
01-03-2008
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2008
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03086125

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