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[Acute poisoning by class I anti-arrhythmia agents and by chloroquine]
A Jaeger1, O Raguin, M N Liégeon
1Service de réanimation médicale, Hôpitaux universtaires de Strasbourg.
La Revue Du Praticien
|April 1, 1997
Abstract:
Poisonings with class I antiarrhythmic drugs and chloroquine are characterized by their severity, related to their membrane-stabilizing effect. Because of the rapid onset of severe cardiovascular disturbances with circulatory arrest, cardiogenic shock, conduction abnormalities, ventricular dysrhythmia, rapid hospitalisation in an intensive care unit is mandatory with continuous monitoring of electrocardiogram, blood pressure and biological variables. Treatment includes mechanical ventilation, inotropic agents, especially epinephrine, hypertonic sodium salts, and diazepam in case of chloroquine poisoning.