Rosser Gareth, Dubrey Simon William
Department of Cardiology, Hillingdon Hospital, Uxbridge, Middlesex, UK.
BMJ Case Rep. 2012 Jun 5;2012:bcr0320126114. doi: 10.1136/bcr.03.2012.6114.
We describe a case of massive overdosage with cardiac medications that proved resistant to conventional support, including fluid replacement, inotropes, mechanical ventilation, cardiac pacing and haemofiltration. The use of a high-dose insulin and glucose infusion proved to be beneficial in the acute management although the patient has been left with significant impairment of cardiac function.