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[Bradycardia factitia]
S Eckert1, H M Mertens, H Mannebach
1Kardiologische Klinik, Herzzentrum Nordrhein-Westfalen, Bad Oeynhausen.
Deutsche Medizinische Wochenschrift (1946)
|March 25, 1988
Abstract:
Repeated intake of 240-400 mg non-retard verapamil by a 26-year-old male nurse brought about interference dissociation resulting from extreme sinus bradycardia, passive AV nodal rhythm and hypotension. Because of a history of myocarditis a recurrence was suspected and an organic cause of the arrhythmia assumed at first, until its self-inflicted origin was discovered. The case demonstrates the need to consider self-medication, even if at first denied, in the differential diagnosis of arrhythmias even in the absence initially of any clear-cut pointers towards it.