title: Nodal rhythm and ventricular parasystole: an unusual electrocardiographic presentation of mad honey poisoning.
abstract: Mad honey poisoning syndrome has been reported in the Eastern Black Sea region and Southeastern regions of Turkey. Herein we report a case of 70-y-old man presented with syncope and severe hemodynamic instability following ingestion of one teaspoon of honey and his unusual electrocardiographic manifestations: nodal rhythm alternating with sinus bradycardia and intermittant ventricular parasystole. In this report, we also tried to explain the possible mechanism responsible for these electrocardiographic findings.
authors.affiliation: Istanbul University, Institute of Cardiology, Department of Cardiology, Division of Pacemaker and Electrophysiology, Haseki-Fatih, Istanbul, Turkey. drfaridalyiyev@yahoo.com.tr
authors.forename: Farid
authors.initials: F
authors.lastname: Aliyev
authors.forename: Cengizhan
authors.initials: C
authors.lastname: Türkoglu
authors.forename: Cengiz
authors.initials: C
authors.lastname: Celiker
mesh_terms: D000368:Aged; D054537:Atrioventricular Block / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D001919:Bradycardia / Q000139:chemically induced; D004562:Electrocardiography; D005517:Foodborne Diseases / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D006329:Heart Conduction System / Q000187:drug effects* / Q000503:physiopathology; D006352:Heart Ventricles / Q000187:drug effects; D006439:Hemodynamics / Q000187:drug effects; D006722:Honey / Q000506:poisoning*; D006801:Humans; D007022:Hypotension / Q000139:chemically induced; D008297:Male; D017574:Parasystole / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D012720:Severity of Illness Index; D013575:Syncope / Q000139:chemically induced; D013577:Syndrome; D014421:Turkey