A case of lethal suicidal intoxication with propafenone and diazepam

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2024-03-04 DOI:10.1111/anec.13111
Shuangbing Yan MM, Ting Xin MD, Xiaojie Luo MM, Yu Wang MD, Bingwei Chen MD
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Abstract

Diazepam poisoning is a common emergency situation, but propafenone poisoning is relatively rare. We reported a case of propafenone poisoning combined with diazepam. An 18-year-old female patient was admitted to our hospital with an overdose of oral propafenone and diazepam. The patient was treated with medication that proved to be useful, but the sinus rhythm could not be recovered, and cardiac arrest occurred. A bipolar temporary pacemaker and extracorporeal membrane oxygenation (ECMO) were installed. However, even with multiple electrode positions, effective capture could not be achieved. The patient eventually died. We should be alert to the possibility of co-poisoning.

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一例普罗帕酮和地西泮致死性自杀中毒。
地西泮中毒是一种常见的急症,但普罗帕酮中毒却相对罕见。我们报告了一例普罗帕酮联合地西泮中毒的病例。一名 18 岁的女性患者因口服普罗帕酮和地西泮过量而被送入我院。患者接受的药物治疗被证明是有效的,但窦性心律无法恢复,并发生了心跳骤停。为患者安装了双极临时起搏器和体外膜肺氧合(ECMO)。然而,即使使用了多个电极位置,也无法实现有效捕获。患者最终死亡。我们应该警惕共同中毒的可能性。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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