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Of mixed vegetables and cardiac arrhythmias - confused with : A case series of accidental digitoxin intoxications.

J Cardiol Cases

August 2023

Department of Internal Medicine II, Centre for Complementary Medicine, Freiburg University Hospital Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Article Synopsis
  • A case series of two women, aged 35 and 60, experienced severe nausea and vomiting after consuming mixed vegetables, which they mistakenly thought included borage but may have contained toxic foxglove leaves.
  • An electrocardiogram showed abnormal heart activity, and testing revealed elevated levels of digitoxin, a toxin from foxglove, in both patients.
  • Both women required close monitoring and treatment but fully recovered, highlighting the dangers of misidentifying edible plants and the need for prompt medical attention in such cases.
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A previously well woman aged 63 years presents to the emergency department with vomiting, palpitations and 3 presyncopal episodes. She had no previous medical or cardiac history, with the patient stating that she tried a herbal remedy of boiled comfrey leaves for insomnia 18 hours before arrival to the department. Her ECG showed multiple abnormalities, including bradycardia, second-degree atrioventricular node block, Mobitz Type 2, a shortened QT interval, downsloping ST depression and presence of U waves.

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Unlabelled: It is assumed that testosterone is an important regulator of gender-related differences in ventricular repolarization. Therefore, our aim was to study whether serum levels of testosterone are associated with QTc, QT and RR interval variation.

Setting: two independent population-based cohort studies.

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