Eckert S, Mertens H M, Mannebach H, Gleichmann U
Kardiologische Klinik, Herzzentrum Nordrhein-Westfalen, Bad Oeynhausen.
Dtsch Med Wochenschr. 1988 Mar 25;113(12):469-71. doi: 10.1055/s-2008-1067665.
Repeated intake of 240-400 mg non-retard verapamil by a 26-year-old male nurse brought about interference dissociation resulting from extreme sinus bradycardia, passive AV nodal rhythm and hypotension. Because of a history of myocarditis a recurrence was suspected and an organic cause of the arrhythmia assumed at first, until its self-inflicted origin was discovered. The case demonstrates the need to consider self-medication, even if at first denied, in the differential diagnosis of arrhythmias even in the absence initially of any clear-cut pointers towards it.
一名26岁的男护士反复摄入240 - 400毫克非缓释维拉帕米，导致了因极度窦性心动过缓、被动性房室结心律和低血压引起的干扰性分离。由于有心肌炎病史，起初怀疑是复发，且认为心律失常有器质性原因，直到发现其为自我造成。该病例表明，即使一开始被否认，在心律失常的鉴别诊断中也需要考虑自我用药的情况，即便最初没有任何明确指向自我用药的迹象。
