Mobitz Type II Atrioventricular Heart Block After Candlenut Ingestion.

Publication/Presentation Date

12-1-2020

Abstract

The candlenut is a highly accessible seed marketed as a natural weight-loss supplement. However, there is little known about the exact mechanism of action for weight loss nor for the many adverse symptoms it causes, such as nausea, vomiting, fatigue, cardiac dysrhythmias, and even death. In this case report, the authors present a 44-year-old woman who developed a second-degree, Mobitz type II atrioventricular block after consumption of a candlenut supplement. She presented to the emergency department with syncope and her cardiac rhythm indicated a second-degree heart block soon after ingesting candlenuts recommended by her treating physician. Interestingly, a detectable digoxin concentration obtained on hospital day 2 was measured but of unclear significance given no obvious exposure to a cardioactive glycoside. The patient's rhythm normalized on hospital day 2 and she was discharged uneventfully.

Volume

120

Issue

12

First Page

839

Last Page

843

ISSN

1945-1997

Disciplines

Emergency Medicine | Medicine and Health Sciences

PubMedID

33017016

Department(s)

Department of Emergency Medicine, Department of Emergency Medicine Faculty

Document Type

Article

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