García del Pozo J M, Siquier B, Vicens C
Unidad de Cardiología, Hospital Son Dureta, Palma de Mallorca.
Rev Esp Cardiol. 1991 May;44(5):355-7.
We report a case of a patient, with no conduction abnormalities, who had took 1,800 mg of diltiazem in an attempted suicide. We haven't come across a similar case, which is not associated with other drugs, in bibliography we have consulted. She had conduction abnormalities at different levels, such as atrioventricular block and sinoatrial block, but after a few hours sinus rhythm returned without more complicated treatment. Serial electrocardiograms showed the different types of block. Although we didn't make an electrophysiologic study, we made vagal tests which were normal.
我们报告了一例患者，该患者无传导异常，曾服用1800毫克地尔硫䓬试图自杀。在我们查阅的文献中，尚未遇到过类似的、未与其他药物联用的病例。她出现了不同程度的传导异常，如房室传导阻滞和窦房传导阻滞，但数小时后窦性心律恢复，未进行更复杂的治疗。系列心电图显示了不同类型的传导阻滞。尽管我们未进行电生理研究，但进行了迷走神经试验，结果正常。
