Cardiotoxic Overdose Treated with Intravenous Fat Emulsion and High-Dose Insulin in the Setting of Hypertrophic Cardiomyopathy

@article{Stellpflug2010CardiotoxicOT,
  title={Cardiotoxic Overdose Treated with Intravenous Fat Emulsion and High-Dose Insulin in the Setting of Hypertrophic Cardiomyopathy},
  author={Samuel J. Stellpflug and Sandy J. Fritzlar and Jon B Cole and Kristin M. Engebretsen and Joel S. Holger},
  journal={Journal of Medical Toxicology},
  year={2010},
  volume={7},
  pages={151-153}
}
High-dose insulin (HDI) and intravenous fat emulsion (IFE) are used in overdoses, although rarely combined. To our knowledge, IFE therapy has not been reported in overdoses of diltiazem, metoprolol and amiodarone. We report a severe overdose of these drugs treated with HDI and IFE in a patient with hypertrophic cardiomyopathy (HCM). We also discuss the… CONTINUE READING