Cardiac Arrest by Aconite Poisoning

Intentional intoxication with monkshood plant leading to atrioventricular dissociation and ventricular ectopy in a 17-year-old female: a case report

“…Mass poisoning has also been reported in the case of food contamination [ 4 ]. Other at-risk groups for poisoning include nature-going patients as they may mistake the plant for an edible variety [ 5 ].…”

“…A broad range of tachyarrhythmia’s are possible from ventricular tachycardia, torsade de pointes, and ventricular fibrillation to bradyarrhythmia’s such as junctional rhythm, fascicular and bundle branch blocks, or repolarization abnormalities with QT prolongation [ 1 , 6 ]. Neurological complications include diaphoresis, obnubilation, blurred vision, color distortion, weakness, tingling, incoordination of extremities, and muscular paralysis that can result in respiratory arrest, all caused by permanent activation of VGSC [ 5 ]. The clinical presentation of aconitine poisoning can vary dependent on the dose ingested and the route of administration.…”

Stir Fry with a Side of Extracorporeal Membrane Oxygen: Management of Cardiogenic Shock Secondary to Unintentional Aconitine Ingestion

“…6 In North America, where Aconitum use as a traditional medicine is much less common, aconitine toxicity is rare and occurs most often due to ingestion of the wild plant after misidentification. [7][8][9] There have been several recent instances of individual or grouped poisonings of a specific genus, Aconitum, reported publicly in Canada. Most notably, over a dozen individuals were exposed to aconitine via a spice product at a restaurant in Markham, Ontario, in September 2022.…”

Accidental poisoning with aconite overdose: A case report and resuscitative emergency management in a tertiary level hospital of Bangladesh

“…Several successful cases of extracorporeal life support have been recorded. 18 Coulson et al 12 report the treatment of 65 cases of probable aconite poisoning resulting in ventricular dysrhythmias in a recent analysis, concluding that flecainide or amiodarone appeared to be more associated to a return to sinus rhythm than lidocaine and/or cardioversion. Our patient recovered with amiodarone and finally reached normal sinus rhythm, demonstrating the effectiveness of amiodarone in aconite‐induced arrhythmias.…”