title: Intravenous lipid emulsion in wide complex arrhythmia with alternating bundle branch block pattern from cocaine overdose.
abstract: We describe the management of a young patient who had experienced a cocaine overdose. The patient presented with altered mental status and seizures and subsequently developed a wide complex arrhythmia with a rare alternating bundle branch block pattern. Intravenous lipid emulsion was administered following initial resuscitation and endotracheal intubation, because conservative methods of treating the persistent cardiac arrhythmias failed.
authors.affiliation: Division of Internal Medicine, University of Toledo Medical Centre at Toledo, Ohio, USA. mozaankush@gmail.com.
authors.forename: Ria
authors.initials: R
authors.lastname: Kundu
authors.forename: Hamzeh
authors.initials: H
authors.lastname: Almasri
authors.forename: Ankush
authors.initials: A
authors.lastname: Moza
authors.forename: Abhimanyu
authors.initials: A
authors.lastname: Ghose
authors.forename: Ragheb
authors.initials: R
authors.lastname: Assaly
mesh_terms: D000328:Adult; D001145:Arrhythmias, Cardiac / Q000139:chemically induced* / Q000628:therapy*; D002037:Bundle-Branch Block / Q000139:chemically induced*; D003042:Cocaine / Q000506:poisoning*; D062787:Drug Overdose / Q000150:complications*; D004562:Electrocardiography; D005217:Fat Emulsions, Intravenous / Q000627:therapeutic use*; D006801:Humans; D007262:Infusions, Intravenous; D007442:Intubation, Intratracheal; D008297:Male; D012151:Resuscitation / Q000379:methods; D012640:Seizures / Q000139:chemically induced
chemical_list: D005217:Fat Emulsions, Intravenous; D003042:Cocaine