Severe Oleander Poisoning Presenting with Hyperkalaemia and Unusual Electrocardiographic Changes

Guru, Satyabrata and Behera, Anupama and Barik, Sadananda and Hansdah, Upendra and Mohanty, Chitta R and Sahoo, Sangeeta (2021) Severe Oleander Poisoning Presenting with Hyperkalaemia and Unusual Electrocardiographic Changes. European Journal of Case Reports in Internal Medicine, 8 (12). pp. 1-4. ISSN 2284-2594

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Abstract

Background: Hyperkalaemia in oleander (Nerium oleander) poisoning has been associated with a poor prognosis. Different electrocardiographic (ECG) presentations are possible because of vagotonia and hyperkalaemia. Methods/Results: We report a series of three cases of oleander poisoning in which ECG showed unusual hyperkalaemia features, such as bradyarrhythmia, sinoatrial block, atrioventricular block and junctional rhythm. Conclusions: If arterial blood gas analysis or laboratory values indicate hyperkalaemia in oleander poisoning, the hyperkalaemia should be treated immediately, even if the ECG does not show typical hyperkalaemia features.

Item Type: Article
Uncontrolled Keywords: ECG, hyperkalaemia, oleander poisonin
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 15 Mar 2022 16:45
Last Modified: 15 Mar 2022 16:45
URI: http://eprints.bice.rm.cnr.it/id/eprint/21768

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