A 50 yo male has collapsed after ingesting aconite. The cardiac monitor displays ventricular tachycardia without a pulse and hypotension. Which antidysrhythmic is recommended as first-line therapy for aconite induced ventricular tachydysrhythmia?
The authors recommended amiodarone followed by lidocaine and phenytoin.
Wood C, Coulson J, Thompson J, Bonner S. An Intentional Aconite Overdose: A Case Report. J Crit Care Med (Targu Mures). 2020 May 6;6(2):124-129. doi: 10.2478/jccm-2020-0016. PMID: 32426520; PMCID: PMC7216026.
Submitted by: VCU Medical Toxicology Fellowship
Posted in Question Of The Day