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
Published In/Presented At
Koons, A. L., Laubach, L. T., Katz, K. D., & Beauchamp, G. A. (2020). Mobitz Type II Atrioventricular Heart Block After Candlenut Ingestion. The Journal of the American Osteopathic Association, 120(12), 839–843. https://doi.org/10.7556/jaoa.2020.136
Disciplines
Emergency Medicine | Medicine and Health Sciences
PubMedID
33017016
Department(s)
Department of Emergency Medicine, Department of Emergency Medicine Faculty
Document Type
Article