JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2018 Month : July Volume : 5 Issue : 28 Page : 2100-2104

A STUDY OF CARDIAC ARRHYTHMIAS IN YELLOW OLEANDER SEED POISONING- AN OBSERVATIONAL STUDY IN A TERTIARY CARE CENTRE

G. Bhaskar1, A. Magesh2, V. P. Kannan3

Dr. A. Magesh,
Assistant Professor,
Department of General Medicine,
Thanjavur Medical College, Thanjavur.
E-mail: mageshond@gmail.com
DOI: 10.18410/jebmh/2018/435

ABSTRACT
BACKGROUND
Yellow oleander seed poisoning causes a wide variety of rhythm disturbances, electrocardiographic variations and abnormalities. some of them primarily due to cardio active glycosides and some are secondary to other factors like electrolyte imbalance. Hypoxia, acidosis etc.

MATERIALS AND METHODS
This is a single center non randomized prospective study, in determining the type of cardiac arrhythmias among patients in and around Thanjavur District admitted as yellow oleander seed poisoning in Thanjavur Medical College Hospital during the period of one year. These cases were followed in the respective wards till their discharge or death. ECG was taken in all cases immediately after admission.

RESULTS
In our study mortality was increased if seed consumption was more than three. Study reveals ECG abnormalities in 75% of patients. ECG abnormalities can be seen even if only one seed was consumed. Varying arrhythmias were observed in a same patient which emphasizes the continuous monitoring or sequential ECGs are mandatory. ECG abnormalities lasted for 4 days which emphasizes ECG monitoring or sequential ECGs for a minimum of 4 to 7 days.

CONCLUSION
In our study mortality is seen if seed consumption is more than three Study reveals ECG abnormalities in 75% of patients. ECG abnormalities can be seen even in only one seed consumed. Sinus bradycardia is the commonest arrhythmia observed. ECG abnormalities lasted for 4 days which emphasizes ECG monitoring or sequential ECGs for minimum of four days.

KEYWORDS
Yellow oleander seed poisoning, Cardiac toxicity.