Clin Exp Emerg Med.  2019 Dec;6(4):366-369. 10.15441/ceem.18.078.

Intravenous lipid emulsion therapy for cardiac arrest and refractory ventricular tachycardia due to multiple herb intoxication

• Han S
• Lim H
• Noh H

• KMID: 2469096
• DOI: http://doi.org/10.15441/ceem.18.078

Abstract

Herbal products have been used for therapeutic purposes for a long time. However, many herbs can be toxic and even life-threatening. If refractory ventricular tachycardia (VT) is caused by herbal products and shows no response to conventional therapy, intravenous lipid emulsion (ILE) therapy can be considered. We report a case of herbal intoxication leading to refractory VT, which was successfully treated with ILE therapy. A 36-year-old woman with aplastic anemia presented with mental changes. She had taken an unknown herbal decoction three days before visiting the hospital. Soon after coming to the hospital, she went into cardiac arrest. Cardiopulmonary resuscitation was performed, and return of spontaneous circulation with VT was achieved. Synchronized cardioversion was then performed and amiodarone was administered. However, VT with pulse continued, so ILE therapy was attempted, which led to the resolution of VT.

Keyword

Herb-drug interactions; Fat emulsions, intravenous; Tachycardia, ventricular; Heart arrest; Toxicity

MeSH Terms

Adult
Amiodarone
Anemia, Aplastic
Cardiopulmonary Resuscitation
Electric Countershock
Fat Emulsions, Intravenous
Female
Heart Arrest*
Herb-Drug Interactions
Humans
Tachycardia, Ventricular*
Amiodarone
Fat Emulsions, Intravenous