Tatlısu Mustafa Adem, Çekirdekçi Elif İjlal, Akyüz Şükrü, Nurkalem Zekeriya
Department of Cardiology, Sivas Numune State Hospital, Sivas, Turkey.
Department of Cardiology, Corlu State Hospital, Tekirdag, Turkey.
Turk Kardiyol Dern Ars. 2015 Oct;43(7):648-50. doi: 10.5543/tkda.2015.65848.
Nerium oleander is a popular ornamental plant grown in many tropical and subtropical countries and in the Mediterranean region. It is dangerous because it has been shown to contain several types of cardiac glycosides, and hence can cause cardiac arrhythmias resembling digoxin in their toxicologic manifestations. We report a patient presenting to our hospital with Mobitz type II atrioventricular block after drinking herbal tea prepared from oleander leaves. Three hours after admission, a 200-mg empiric dose of digoxin-specific Fab antibody fragments was administered intravenously over 30 minutes. A 12-lead electrocardiogram (ECG) revealed sinus rhythm at the end of infusion. After 72 hours, the patient was discharged without any symptoms.
夹竹桃是一种常见的观赏植物，生长于许多热带和亚热带国家以及地中海地区。它很危险，因为已证明其含有多种类型的强心苷，因此在毒理学表现上可导致类似地高辛的心律失常。我们报告一名患者，饮用用夹竹桃叶泡制的草药茶后，以莫氏Ⅱ型房室传导阻滞就诊于我院。入院3小时后，静脉注射200毫克经验剂量的地高辛特异性Fab抗体片段，持续30分钟。输注结束时，12导联心电图（ECG）显示窦性心律。72小时后，患者无症状出院。
