BEYOND THE PLEASURE PRINCIPLE - FATAL CARDIAC ARRHYTHMIAS AFTER INGESTION OF AN HERBAL MEDICATION
DOI:
https://doi.org/10.55519/JAMC-04-9872Keywords:
herbal medicine; erectile dysfunction; bi-directional ventricular tachycardiaAbstract
There is increasing popularity in the use of herbal medicine for different ailments as these natural products are considered safer than conventional medicines; however, their use in dosage exceeding prescribed limits can result in serious toxic side effects. We present a case of a 63-year-old male who presented with complaints of restlessness, nausea, vomiting and tingling sensation on his body and ECG evidence of bi-directional ventricular tachycardia. On interrogation, it was revealed that the patient had self-prepared and consumed large quantity of an herbal medication (containing toxic aconite roots) as therapy for erectile dysfunction resulting in a fatal outcome.
References
Eko M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol 2013;4:177.
Ho CCK, Tan HM. Rise of herbal and traditional medicine in erectile dysfunction management. Curr Urol Rep 2011;12(6):470-8.
Al-Khafaji A, Corwin HL, Adhar JC, Greenberg ML. Bidirectional tachycardia: two cases and a review. Anesth Analg 2002;95(2):310-5.
Bonanno G, Ippolito M, Moscarelli A, Misseri G, Caradonna R, Accurso G, et al. Accidental poisoning with Aconitum: Case report and review of the literature. Clin Case Rep 2020;8(4):696-98.
Chan TYK. Aconite poisoning. Clin Toxicol (Phila) 2009;47(4):279-85.
Moritz F, Compagnon P, Kaliszczak IG, Kaliszczak Y, Caliskan V, Girault C. Severe acute poisoning with homemade Aconitum napellus capsules: toxicokinetic and clinical data. Clin Toxicol (Phila) 2005;43(7):873-6.
Chan TY. Aconite poisoning presenting as hypotension and bradycardia. Hum Exp Toxicol 2009;28(12):795-7.
Schwensen C. Ventricular tachycardia as the result of the administration of digitalis. Heart 1922;9:199-205.
Nam GB, Burashnikov A, Antzelevitch C. Cellular mechanisms underlying the development of catecholaminergic ventricular tachycardia. Circulation 2005;111(21):2727-33.
Wase A, Masood AM, Garikipati NV, Mufti O, Kabir A. Bidirectional ventricular tachycardia with myocardial infarction: A case report with insight on mechanism and treatment. Indian Heart J 2014;66(4):466-9.
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.