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Original

A Case of Sotalol Poisoning with Fatal Outcome

, , , , , & show all
Pages 389-396 | Published online: 31 Jan 2011
 

Abstract

The case of a 58 year old woman who died after ingestion of 14.4 g of sotalol and 50 mg of triazolam is described. Despite medical treatment, intracardiac pacing and hemodialysis, cardiovascular failure persisted and became irreversible. High sotalol concentrations were observed in plasma (65 μg/ml) and in post mortem tissues samples. Tissue to plasma ratios ranged from 2.5 to 6. The high drug concentration found in heart tissue (104.4 μg/g) explains the difficulties experienced in the sotalol poisoning.

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