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Challenges to Contemporary Wide Complex Tachycardia Criteria: A Single-center Case Series of 1:1 Atrial Flutter.
J Innov Card Rhythm Manag
October 2024
Department of Internal Medicine, Section of Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Atrial flutter with 1:1 atrioventricular conduction is a rare cause of wide complex tachycardia, which presents a diagnostic challenge. This report describes a series of eight cases of 1:1 atrial flutter compiled during 2018-2022. The cases in this report include patients without class 1 anti-arrhythmic use or pre-excitation.
View Article and Find Full Text PDFDiphenhydramine Overdose: A Case Report and Topic Review of Prehospital Diagnosis and Treatment.
Cureus
October 2024
Emergency Medicine, Florida State University College of Medicine, Sarasota, USA.
Diphenhydramine (DPH), a readily available first-generation H1 receptor antihistamine, can have severe consequences when taken in excessive amounts and can lead to grave outcomes such as seizures, dysrhythmias, coma, and death. Recognizing the early signs and symptoms of DPH toxicity is crucial. Fortunately, fatal adult cases of DPH overdose are rare.
View Article and Find Full Text PDFAcute death Camas (Toxicoscordion venenosum) plant poisoning in seven family members following foraging for wild onions.
Am J Emerg Med
January 2025
Department of Emergency Medicine, Loma Linda University, School of Medicine, Loma Linda, CA, USA. Electronic address:
Background: Unintentional plant ingestions and poisoning are common. Generally, these ingestions are asymptomatic or minimally symptomatic. Increased toxicity is often associated with the foraging for plants incorrectly identified as edible plants.
View Article and Find Full Text PDFFlecainide toxicity with pill-in-pocket approach from accidental overdose: a case report.
Eur Heart J Case Rep
October 2024
Division of Electrophysiology, Department of Cardiology, Montefiore Medical Center, 111 E 210th St, Bronx, NY 10467, USA.
Background: The Pill-in-the-Pocket (PiP) approach may be used in highly selected patients to achieve acute pharmacological cardioversion into sinus rhythm. Flecainide toxicity is rarely reported, especially with patients who take flecainide as PiP, and only limited evidence exists in its management. We present a case of accidental flecainide overdose for a patient who is on PiP and the acute management strategy.
View Article and Find Full Text PDFAn Unusual Presentation of an Amniotic Fluid Embolism: Fetal Bradycardia As the First Sign.
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August 2024
Anesthesiology and Perioperative Care, UCI Health, Orange, USA.
Article Synopsis
- * In a case study, fetal distress—specifically bradycardia—was observed before any maternal symptoms, indicating that fetal complications can occur independently of the mother's health.
- * The patient, a 34-year-old woman at full term, experienced seizures and cardiac arrest during an emergency cesarean delivery for fetal distress, leading to immediate interventions, stabilization, and recovery in the surgical intensive care unit.
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