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Previous Volume 330:718-720 March 10, 1994 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Intoxication with verapamil is a serious and often fatal condition, complicated by severe hypotension and cardiac-conduction abnormalities^1,2,3,4. The current therapeutic approach involves intravenous atropine, catecholamines, ventilation, and the insertion of a pacemaker.

A 65-year-old woman treated with sustained-release verapamil for hypertension was admitted to our hospital in a coma (Glasgow coma score, 4). The blood pressure was 83/63 mm Hg, and the heart rate was 42 beats per minute (atrioventricular nodal rhythm with right bundle-branch block). The results of a routine drug screening were negative. Verapamil overdose was suspected, and gastric lavage was performed. The patient . . . [Full Text of this Article]

References

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• Mokhlesi, B., Leikin, J. B., Murray, P., Corbridge, T. C. (2003). Adult Toxicology in Critical Care: Part II: Specific Poisonings. Chest 123: 897-922 [Full Text]  
• Isbister, G K (2002). Delayed asystolic cardiac arrest after diltiazem overdose; resuscitation with high dose intravenous calcium. Emerg. Med. J. 19: 355-357 [Abstract] [Full Text]  
• Lam, Y.-M., Tse, H.-F., Lau, C.-P. (2001). Continuous Calcium Chloride Infusion for Massive Nifedipine Overdose. Chest 119: 1280-1282 [Abstract] [Full Text]