title: Unusual electrocardiographic changes with propranolol and diltiazem overdosage: a case report.
abstract: The therapeutic efficacy and safety of beta-adrenoreceptor-blocking drugs has been well established in patients with angina pectoris, cardiac arrhythmias, and hypertension and reducing the risk of mortality and nonfatal reinfarction on survival of acute myocardial infarction. The calcium antagonists are used for the treatment of patients with angina pectoris, long-term systemic hypertension, and the management of hypertensive emergencies and also for a multitude of other cardiovascular and noncardiovascular conditions. Because adverse cardiovascular effects can occur, however, patients being considered for combination treatment with propranolol and diltiazem must be selected carefully and observed closely. In this article, we present a suicidal case of drug overdose with propranolol and diltiazem with unusual electrocardiographic changes.
authors.affiliation: Emergency Department, Faculty of Medicine, Cukurova University, Adana, Turkey. ssatar@mail.cu.edu.tr
authors.forename: Salim
authors.initials: S
authors.lastname: Satar
authors.forename: Ayca
authors.initials: A
authors.lastname: Acikalin
authors.forename: Onur
authors.initials: O
authors.lastname: Akpinar
mesh_terms: D000293:Adolescent; D000319:Adrenergic beta-Antagonists / Q000506:poisoning*; D002121:Calcium Channel Blockers / Q000506:poisoning*; D004110:Diltiazem / Q000506:poisoning*; D004347:Drug Interactions; D062787:Drug Overdose; D004562:Electrocardiography / Q000187:drug effects*; D005260:Female; D006801:Humans; D011433:Propranolol / Q000506:poisoning*; D013406:Suicide, Attempted
chemical_list: D000319:Adrenergic beta-Antagonists; D002121:Calcium Channel Blockers; D011433:Propranolol; D004110:Diltiazem