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Acute myocardial necrosis caused by aconitine poisoning: A case report
Yu-Ping Liao1, Li-Han Shen1, Li-Hua Cai1
1Department of Critical Care Medicine, Dongguan People's Hospital, Dongguan 523058, Guangdong Province, China.
Background:
Herbal medicine has a long history of use in the prevention and treatment of disease and is becoming increasingly popular globally. However, there are also widespread concerns about its safety. Among them, the cardiotoxicity of aconitine has been described.
Case Summary:
We report a case of a 61-year-old male with aconitine poisoning presenting with malignant arrhythmia and severe cardiogenic shock, which was successfully managed with aggressive advanced life support and heart transplantation.
Conclusion:
This is the first case wherein in vivo cardiac pathology was obtained, confirming that aconitine caused acute myocardial necrosis.
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