Comfrey herbal remedy causing second-degree heart block: do not be outfoxed by digitalis.
BMJ Case Rep
; 20162016 Dec 01.
Article
en En
| MEDLINE
| ID: mdl-27908913
ABSTRACT
A previously well woman aged 63 years presents to the emergency department with vomiting, palpitations and 3 presyncopal episodes. She had no previous medical or cardiac history, with the patient stating that she tried a herbal remedy of boiled comfrey leaves for insomnia 18â
hours before arrival to the department. Her ECG showed multiple abnormalities, including bradycardia, second-degree atrioventricular node block, Mobitz Type 2, a shortened QT interval, downsloping ST depression and presence of U waves. After viewing the images of comfrey and foxglove, it highlighted the possibility of mistaken ingestion of Digitalis, containing the organic forms of cardiac glycosides, such as digoxin and digitoxin. Raised serum digoxin levels confirmed this. The patient was haemodynamically stable, and given digoxin-binding antibodies. After 5â
days of cardiac monitoring, her ECG returned to normal rhythm, and she was discharged home.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Intoxicación por Plantas
/
Anticuerpos Heterófilos
/
Accidentes
/
Consuelda
/
Digitalis
/
Digoxina
/
Bloqueo Atrioventricular
/
Trastornos del Inicio y del Mantenimiento del Sueño
Tipo de estudio:
Etiology_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
BMJ Case Rep
Año:
2016
Tipo del documento:
Article
País de afiliación:
Reino Unido