RESUMEN
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.).
RESUMEN
A 40-year-old man was referred to the cardiology outpatient clinic with dizziness, palpitations and shortness of breath. He remembered being bitten by a tick two to three years previously, but had not noticed a characteristic skin rash. The ECG showed a prominent first degree atrioventricular (AV) block and ambulatory electrocardiographic monitoring showed an intermittent complete AV block. A definitive pacemaker was implanted. Antibodies to Borrelia were found. The patient was treated with ceftriaxone. In the weeks and months following implantation, the AV block disappeared completely. The reversibility of the AV block secured the diagnosis 'Lyme carditis with secondary AV block', and the pacemaker was explanted.
Asunto(s)
Bloqueo Cardíaco/etiología , Bloqueo Cardíaco/terapia , Enfermedad de Lyme/complicaciones , Miocarditis/complicaciones , Marcapaso Artificial , Adulto , Antibacterianos/uso terapéutico , Anticuerpos Antibacterianos/sangre , Borrelia/inmunología , Ceftriaxona/uso terapéutico , Diagnóstico Diferencial , Electrocardiografía , Electrocardiografía Ambulatoria , Bloqueo Cardíaco/diagnóstico , Humanos , Enfermedad de Lyme/diagnóstico , Enfermedad de Lyme/tratamiento farmacológico , Masculino , Miocarditis/diagnóstico , Miocarditis/tratamiento farmacológico , Resultado del TratamientoRESUMEN
Hypereosinophilic syndrome is a heterogeneous group of disorders characterised by hypereosinophilia and organ involvement of varying intensity. We describe involvement of the heart in patients with hypereosinophilic syndrome,and the diagnostic and therapeutic clinical management of these patients.