Delayed diagnosis of diltiazem overdose in a patient presenting with thrombosis of femoral artery.

@article{Chan1996DelayedDO,
  title={Delayed diagnosis of diltiazem overdose in a patient presenting with thrombosis of femoral artery.},
  author={A W Chan and K. Wayne Johnston and Zul Verjee and Wilfred Demajo},
  journal={The Canadian journal of cardiology},
  year={1996},
  volume={12 9},
  pages={835-8}
}
Previous cases of diltiazem overdose described patients who presented with hypotension, heart block, bradycardia, or ultimately death. This report concerns an elderly patient presenting to the emergency room with hypotension, an ischemic leg and confusion. He underwent an emergency thrombectomy of the femoral artery. He had severe lactic acidosis, persistent hypotension requiring prolonged inotropic support and difficulty being weaned from the ventilator after the operation. Subsequent… CONTINUE READING