Citation

Anastasius M, Yiannikas J. Australas. Med. J. 2015; 8(3): 96-99.

Affiliation

Cardiology Department, Concord Repatriation General Hospital, Concord, NSW, Australia.

Copyright

(Copyright © 2015, Australasian Medical Journal)

DOI

10.4066/AMJ.2015.2310

PMID

25870660

PMCID

PMC4385815

Abstract

We present an interesting case of a young man with coronary artery vasospasm complicating scombroid fish poisoning illness. The initial presentation included tachycardia and significant hypotension. A 12-lead ECG showed sinus tachycardia with marked widespread ST segment depression and ST elevation in aVR. Symptoms subsequently improved with intravenous fluid rehydration, antihistamines, and glyceral trinitrate. The underlying pathogenesis and treatment of this rarely described manifestation of the fish poisoning illness is discussed.

Language: en