Bhaskar G, Magesh A, Kannan VP. A study of cardiac arrhythmias in yellow oleander seed poisoning- an observational study in a tertiary care centre. J. Evid. Based Med. Healthc. 2018; 5(28), 2100-2104. DOI: 10.18410/jebmh/2018/435
From various ECG findings it was found that certain areas in the conducting system of heart was more involved than others. Sinus node was most commonly involved in the form of SICK SINUS SYNDROME5 followed by AV junction. 6 Left bundle branch wss almost never involved in oleander poisoning. Yellow oleander contains many cardio active glycosides very similar to digitalis. 7 Many of the rhythm disturbances are explained by autonomic imbalance mediated by vagus nerve. Therefore there is good response to atropine in the management of oleander poisoning.
