Evidence map›Paper›PMID 37621582›Full record

ArticleWorld journal of clinical cases2023

Recurrent ventricular arrhythmia due to aconite intoxication successfully treated with landiolol: A case report.

Chiaki Matsuo, Koji Yamamoto, Hidetada Fukushima, Daisuke Yajima, Hiroyuki Inoue

Open access · diamondAbstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Chiaki MatsuoDepartment of Emergency and Critical Care Medicine, Nara Medical University, Kashihara City 634-8522, Nara, Japan.
Koji YamamotoDepartment of Emergency and Critical Care Medicine, Nara Medical University, Kashihara City 634-8522, Nara, Japan. k.yamamoto@naramed-u.ac.jp.
Hidetada FukushimaDepartment of Emergency and Critical Care Medicine, Nara Medical University, Kashihara City 634-8522, Nara, Japan.
Daisuke YajimaDepartment of Forensic Medicine, School of Medicine, International University of Health and Welfare, Narita City 286-8686, Chiba, Japan.
Hiroyuki InoueDepartment of Forensic Medicine, School of Medicine, International University of Health and Welfare, Narita City 286-8686, Chiba, Japan.
Nara Medical University · JPInternational University of Health and Welfare · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentricular arrhythmias, such as ventricular tachycardia and fibrillation, are the main causes of death in patients with aconite poisoning. CASE SUMMARY: A 51-year-old man presented to our emergency department because he was vomiting after ingesting aconite root to attempt suicide. On arrival, the patient was hemodynamically unstable, and his electrocardiogram revealed polymorphic ventricular extrasystoles and non-sustained ventricular tachycardia. Amiodarone was immediately administered for ventricular arrhythmia. However, the patient remained unresponsive. We administered continuous intravenous landiolol as the ventricular arrhythmia worsened, gradually suppressing it. The patient returned to sinus rhythm 16 h after arriving at the hospital. Some aconitum alkaloids act on voltage-gated Na+- channels and induce ventricular or supraventricular tachyarrhythmias. Landiolol suppresses sympathetic nerve activity through its blocking effect, preventing arrhythmia.

conclusionLandiolol can be a therapeutic option for amiodarone-refractory ventricular arrhythmias caused by aconite intoxication.

Indexed as

AconiteAmiodaroneArrhythmiaCase reportLandiololToxicology

Identifiers

PMID37621582
PMCPMC10445079
OpenAlexW4385505150

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.