{"title":"Aconite Toxicity Presenting as Electrical Storm: A Diagnostic and Therapeutic Challenge","authors":"G. Ravikanth, B. Rao, M. Azam","doi":"10.1177/26324636231180988","DOIUrl":null,"url":null,"abstract":"Aconite is a plant with deceptively beautiful flowers that contain a deadly cardiotoxin. Aconite toxicity presents with often fatal ventricular arrhythmias that are refractory to conventional antiarrhythmic medications. An electrical storm (ES) is an acute cardiac emergency that carries a high mortality. We report one such case of acute aconite toxicity presenting with ES that was managed successfully with hemodynamic support, overdrive pacing, and charcoal hemoperfusion with high-flux ultrafiltration.","PeriodicalId":429933,"journal":{"name":"Indian Journal of Clinical Cardiology","volume":"71 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Clinical Cardiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/26324636231180988","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Aconite is a plant with deceptively beautiful flowers that contain a deadly cardiotoxin. Aconite toxicity presents with often fatal ventricular arrhythmias that are refractory to conventional antiarrhythmic medications. An electrical storm (ES) is an acute cardiac emergency that carries a high mortality. We report one such case of acute aconite toxicity presenting with ES that was managed successfully with hemodynamic support, overdrive pacing, and charcoal hemoperfusion with high-flux ultrafiltration.