Intravenous lipid emulsion therapy for cardiac arrest and refractory ventricular tachycardia due to multiple herb intoxication
Clinical and Experimental Emergency Medicine
; (4): 366-369, 2019.
Article
em En
| WPRIM
| ID: wpr-785623
Biblioteca responsável:
WPRO
ABSTRACT
Herbal products have been used for therapeutic purposes for a long time. However, many herbs can be toxic and even life-threatening. If refractory ventricular tachycardia (VT) is caused by herbal products and shows no response to conventional therapy, intravenous lipid emulsion (ILE) therapy can be considered. We report a case of herbal intoxication leading to refractory VT, which was successfully treated with ILE therapy. A 36-year-old woman with aplastic anemia presented with mental changes. She had taken an unknown herbal decoction three days before visiting the hospital. Soon after coming to the hospital, she went into cardiac arrest. Cardiopulmonary resuscitation was performed, and return of spontaneous circulation with VT was achieved. Synchronized cardioversion was then performed and amiodarone was administered. However, VT with pulse continued, so ILE therapy was attempted, which led to the resolution of VT.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Cardioversão Elétrica
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Reanimação Cardiopulmonar
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Taquicardia Ventricular
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Interações Ervas-Drogas
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Emulsões Gordurosas Intravenosas
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Parada Cardíaca
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Amiodarona
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Anemia Aplástica
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Clinical and Experimental Emergency Medicine
Ano de publicação:
2019
Tipo de documento:
Article