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Journal Article

Citation

Riku S, Yamamoto T, Kubota Y, Ichii T, Jinno Y, Suzuki S, Murohara T. J. Cardiol. Cases 2018; 18(6): 210-212.

Copyright

(Copyright © 2018, Japanese College of Cardiology, Publisher Elsevier Publishing)

DOI

10.1016/j.jccase.2018.08.003

PMID

unavailable

Abstract

A 30-year-old female with no history of cardiac or systemic disease presented with incessant ventricular fibrillation (VF) after an intake of 12 g of over-the-counter caffeine tablets for a suicidal purpose. Her VF was refractory, and repeated defibrillations were needed to attain a recovery of sinus rhythms. We then performed percutaneous cardiopulmonary support and therapeutic hypothermia to stabilize her circulation and prevent anoxic brain damage, respectively. A blood examination revealed an extremely high concentration of caffeine (172 mg/L). She fully recovered 16 days after her admission. Our findings reveal the potentially lethal arrhythmogenic nature of caffeine. © 2018


Language: en

Keywords

adult; human; suicide; female; resuscitation; case report; caffeine; drug overdose; clinical article; drug intoxication; hospital admission; priority journal; recurrent disease; emergency ward; tonic clonic seizure; family history; anamnesis; clinical observation; defibrillation; heart ventricle fibrillation; cardiopulmonary arrest; tablet; electrocardiography; induced hypothermia; laboratory test; hyperglycemia; sinus tachycardia; Article; brain damage; hypokalemia; blood examination; arterial gas; transthoracic echocardiography; exercise test; circulation; sinus rhythm; T wave inversion; arterial blood; exercise tolerance; Ventricular fibrillation; assisted circulation; Caffeine intoxication; coronary angiography; percutaneous cardiopulmonary support; QTc interval prolongation

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