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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Herbals - Dietary botanical therapy - Health products/food - Plants

5

XII.l Cardiac arrhythmias or dysrhythmias (AF, VT, VF, TdP)

1
Last update : 09/12/2014
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Amphetamine (and -derivatives)
3
Ayahuasca
1
Cyanide
5
Delphinium plant
3
Flavocoxid
2
Herbal extracts (via injection)
3
Herbals (fumigated, inhaled)
1
Kratom (Mitragynine)
1
Metals (heavy-)
4
Niacin
1
Poison hemlock
1
Sauropus androgynus
4
Scopolamine
2
Sibutramine
1
Tryptophan (l-tryptophan, synthetic)
5

Publications

Herb-induced cardiotoxicity from accidental aconitine overdose.
Singapore medical journal 2015 Jul;56;e116-9 2015 Jul
Acute necrotizing eosinophilic myocarditis in a patient taking Garcinia cambogia extract successfully treated with high-dose corticosteroids.
The Canadian journal of cardiology 2014 Dec;30;1732.e13-5 2014 Dec
Confirmation of a proarrhythmic risk underlying the clinical use of common Chinese herbal intravenous injections.
Journal of ethnopharmacology 2012 Aug 01;142;829-35 2012 Aug 01

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