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Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications

The ECG is a rapidly available clinical tool that can help clinicians manage poisoned patients. Specific myocardial effects of cardiotoxic drugs have well-described electrocardiographic manifestations. In the practice of clinical toxicology, classic ECG changes may hint at blockade of ion channels,...

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Detalles Bibliográficos
Autores principales: Yates, Christopher, Manini, Alex F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Science Publishers 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3406273/
https://www.ncbi.nlm.nih.gov/pubmed/22708912
http://dx.doi.org/10.2174/157340312801784961
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author Yates, Christopher
Manini, Alex F
author_facet Yates, Christopher
Manini, Alex F
author_sort Yates, Christopher
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description The ECG is a rapidly available clinical tool that can help clinicians manage poisoned patients. Specific myocardial effects of cardiotoxic drugs have well-described electrocardiographic manifestations. In the practice of clinical toxicology, classic ECG changes may hint at blockade of ion channels, alterations of adrenergic tone, or dysfunctional metabolic activity of the myocardium. This review will offer a structured approach to ECG interpretation in poisoned patients with a focus on clinical implications and ECG-based management recommendations in the initial evaluation of patients with acute cardiotoxicity.
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spelling pubmed-34062732013-05-01 Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications Yates, Christopher Manini, Alex F Curr Cardiol Rev Article The ECG is a rapidly available clinical tool that can help clinicians manage poisoned patients. Specific myocardial effects of cardiotoxic drugs have well-described electrocardiographic manifestations. In the practice of clinical toxicology, classic ECG changes may hint at blockade of ion channels, alterations of adrenergic tone, or dysfunctional metabolic activity of the myocardium. This review will offer a structured approach to ECG interpretation in poisoned patients with a focus on clinical implications and ECG-based management recommendations in the initial evaluation of patients with acute cardiotoxicity. Bentham Science Publishers 2012-05 2012-05 /pmc/articles/PMC3406273/ /pubmed/22708912 http://dx.doi.org/10.2174/157340312801784961 Text en © 2012 Bentham Science Publishers https://creativecommons.org/licenses/by/2.5/This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Yates, Christopher
Manini, Alex F
Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications
title Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications
title_full Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications
title_fullStr Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications
title_full_unstemmed Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications
title_short Utility of the Electrocardiogram in Drug Overdose and Poisoning: Theoretical Considerations and Clinical Implications
title_sort utility of the electrocardiogram in drug overdose and poisoning: theoretical considerations and clinical implications
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3406273/
https://www.ncbi.nlm.nih.gov/pubmed/22708912
http://dx.doi.org/10.2174/157340312801784961
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