Electrocardiographic changes during inhalational oleander toxicity.

Abstract

Inhalational oleander toxicity was considered in a family of 4 by history of exposure to smoke from burning oleander twigs. Electrocardiography revealed first- and second-degree atrioventricular block with digoxin-like ST-T-wave changes, suggestive of oleander toxicity in the absence of exposure to digoxin or other herbal medicines, and without systemic illness. Complete blood count, biometabolic profile, chest x-ray, and echocardiography did not reveal any abnormalities. Electrocardiographies normalized within 4 days when kept away from offending agents. Because oleander plant materials are used for burning, people are exposed to inhalational oleander toxicity. Hence, practitioners shall consider such poisonings in them.

• Authors: Subramanian Senthilkumaran, Ramachandran Meenakshisundaram, Andrew D Michaels, Ponniah Thirumalaikolundusubramanian
• Journal: Journal of electrocardiology (J Electrocardiol) 2011 Jul-Aug Vol. 44 Issue 4 Pg. 470-2 ISSN: 1532-8430 [Electronic] United States
• PMID: 21397908 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Elsevier Inc. All rights reserved.

Chemical References

• Cardiotonic Agents
• Smoke
• Digoxin

Topics

• Adult
• Atrioventricular Block (chemically induced, physiopathology)
• Cardiotonic Agents
• Digoxin
• Electrocardiography
• Female
• Humans
• Inhalation Exposure
• Nerium (poisoning)
• Smoke