[Bradycardia factitia].
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.
Eckert
S
S
Kardiologische Klinik, Herzzentrum Nordrhein-Westfalen, Bad Oeynhausen.
Mertens
H M
HM
Mannebach
H
H
Gleichmann
U
U
D000328:Adult; D001919:Bradycardia / Q000139:chemically induced* / Q000175:diagnosis; D004562:Electrocardiography; D005162:Factitious Disorders; D006327:Heart Block / Q000139:chemically induced / Q000175:diagnosis; D006801:Humans; D008297:Male; D013406:Suicide, Attempted; D014700:Verapamil / Q000506:poisoning*
D014700:Verapamil
Bradycardia factitia.