Atrial Fibrillation with Slow Ventricular Response due to Multi-drug Poisoning - Successful Lipid Emulsion Therapy

Abstract

In this report, we present a patient with suicidal attempt by multi-drug (Sertraline, quetiapine and Tarka: 240 mg verapamil, 4 mg trandopril) ingestion. The patient developed atrial fibrillation with slow ventricular response, prolongation of QT period and shock. The symptoms of the patient improved dramatically following IV lipid emulsion (ILE) therapy. Any side-effect related to ILE therapy was not determined. ILE therapy may be used in management of patients with fatal cardiotoxicity due to multi-drug intoxication.

Keywords

• lipid Emulsion (ILE) Therapy
• Multi-drug Poisoning
• Atrial Fibrillation
• Prolonged QT
• Suicide
• Multi-drug İntoxication

References

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