Ventricular tachycardia storm after accidental poisoning of delphinium species: a rare case report

Author:

Shrestha Swikriti1,Thapa Shovit2,Hussain Asraf2,Lamichhane Sandesh1,Subedi Subash1,KC Sujata1,Kandel Narayan3,Pant Kailash4

Affiliation:

1. Internal Medicine

2. Cardiology, Chitwan Medical College Teaching Hospital, Chitwan

3. Department of Emergency Medicine, Lubhu Primary Health Center, Lalitpur, Nepal

4. Department of Internal Medicine, Division of Cardiovascular Medicine, University of Illinois College of Medicine, OSF Healthcare, Peoria, IL

Abstract

Introduction: Delphinium species are commonly used as medicinal herbs, with a wide range of implications for medical conditions. The injudicious use of this plant has been known to cause devastating side effects, including cardiac arrhythmias. Case presentation: Here, the authors present an 80-year-old male with incessant ventricular tachycardia after ingestion of this herb. The sinus rhythm was restored after electrical cardioversion and aggressive intravenous antiarrhythmics. Clinical discussion: To the best knowledge of the authors, no case of a ventricular storm following ingestion of Delphinium has been reported till now, probably rendering this case the first one. Conclusion: This report aims to present the rare case using theoretical concepts from the discipline and to share our approach in the hope of achieving a better understanding of similar cases.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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