Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4842
Revised: May 23, 2024
Accepted: June 12, 2024
Published online: July 26, 2024
Processing time: 69 Days and 8.7 Hours
Aconitine poisoning is highly prone to causing malignant arrhythmias. The elimination of aconitine from the body takes a considerable amount of time, and during this period, patients are at a significant risk of death due to malignant arrhythmias associated with aconitine poisoning.
A 30-year-old male patient was admitted due to accidental ingestion of aconitine-containing drugs. Upon arrival at the emergency department, the patient intermittently experienced malignant arrhythmias including ventricular tachycardia, ventricular fibrillation, ventricular premature beats, and cardiac arrest. Emer
VA-ECMO can serve as a bridging resuscitation technique for patients with reversible malignant arrhythmias.
Core Tip: A patient poisoned by aconitine was treated with detoxification therapy under Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support and made a full recovery. VA-ECMO can stabilize the hemodynamics of patients poisoned by drugs, providing a therapeutic opportunity for toxin elimination and the recovery of spontaneous cardiac activity and vital signs. We believe that VA-ECMO is an effective method for treating malignant arrhythmias caused by drug poisoning, which can reduce the risk of patient mortality. VA-ECMO is an effective method for treating malignant arrhythmias caused by drug poisoning.