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. 1998 May;67(1):13–18.

Drug overdoses requiring temporary cardiac pacing; a study of six cases treated at Altnagelvin Hospital, Londonderry.

P G McGlinchey 1, A J McNeill 1
PMCID: PMC2448676  PMID: 9652193

Abstract

Drug overdoses in general are increasing and overdoses of cardiac medications are also increasing; some are associated with a high mortality. Temporary cardiac pacing has a valuable role in cases of hypotension related to dysrhythmia, or when it is necessary to provide overdrive pacing. However, despite technically successful and uncomplicated pacemaker insertion and restoration of cardiac electrical activity, patients developing bradyarrhythmia and hypotension after an overdose are in a high risk group.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bodenhamer J. E., Smilkstein M. J. Delayed cardiotoxicity following quinine overdose: a case report. J Emerg Med. 1993 May-Jun;11(3):279–285. doi: 10.1016/0736-4679(93)90047-b. [DOI] [PubMed] [Google Scholar]
  2. Bosse G. M., Pope T. M. Recurrent digoxin overdose and treatment with digoxin-specific Fab antibody fragments. J Emerg Med. 1994 Mar-Apr;12(2):179–185. doi: 10.1016/0736-4679(94)90696-3. [DOI] [PubMed] [Google Scholar]
  3. Connolly D. L., Nettleton M. A., Bastow M. D. Massive diltiazem overdose. Am J Cardiol. 1993 Sep 15;72(9):742–743. doi: 10.1016/0002-9149(93)90897-l. [DOI] [PubMed] [Google Scholar]
  4. Greig J., Groden B. M. Persistent electrocardiographic changes after flecainide overdose. Br J Clin Pract. 1995 Jul-Aug;49(4):218–219. [PubMed] [Google Scholar]
  5. Kenny J. Treating overdose with calcium channel blockers. BMJ. 1994 Apr 16;308(6935):992–993. doi: 10.1136/bmj.308.6935.992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Murphy G. J., McAleer J. J., O'Connor F. A. Drug overdoses--a three year study at Altnagelvin Hospital, Londonderry. Ulster Med J. 1984;53(2):131–139. [PMC free article] [PubMed] [Google Scholar]
  7. Proano L., Chiang W. K., Wang R. Y. Calcium channel blocker overdose. Am J Emerg Med. 1995 Jul;13(4):444–450. doi: 10.1016/0735-6757(95)90137-X. [DOI] [PubMed] [Google Scholar]
  8. Ramoska E. A., Spiller H. A., Winter M., Borys D. A one-year evaluation of calcium channel blocker overdoses: toxicity and treatment. Ann Emerg Med. 1993 Feb;22(2):196–200. doi: 10.1016/s0196-0644(05)80202-1. [DOI] [PubMed] [Google Scholar]
  9. Taboulet P., Baud F. J., Bismuth C., Vicaut E. Acute digitalis intoxication--is pacing still appropriate? J Toxicol Clin Toxicol. 1993;31(2):261–273. doi: 10.3109/15563659309000393. [DOI] [PubMed] [Google Scholar]

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