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Case Reports

Ventricular fibrillation due to overdose of loperamide, the “poor man’s methadone”

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Pages 222-226 | Received 03 Apr 2017, Accepted 27 Jun 2017, Published online: 19 Sep 2017

Figures & data

Figure 1. Wide complex undetermined atrial rhythm at rate of 58 bpm with prolonged QT 666 msec and QTc of 653 msec.

Figure 1. Wide complex undetermined atrial rhythm at rate of 58 bpm with prolonged QT 666 msec and QTc of 653 msec.

Figure 2. Wide complex tachycardia at a rate of 121 bpm that is consistent with ventricular tachycardia.

Figure 2. Wide complex tachycardia at a rate of 121 bpm that is consistent with ventricular tachycardia.

Figure 3. Ventricular paced rhythm at rate of 95 bpm with still wide QTc interval (688 msec).

Figure 3. Ventricular paced rhythm at rate of 95 bpm with still wide QTc interval (688 msec).

Figure 4. Sinus bradycardia at ventricular rate of 46 bpm, prolonged QT (658 msec) and QTc (575 msec) with ST depression in the inferior leads. T wave inversion in the anterior leads (V3–V4) and inferior leads (II, III, aVf) ‘arrows’.

Figure 4. Sinus bradycardia at ventricular rate of 46 bpm, prolonged QT (658 msec) and QTc (575 msec) with ST depression in the inferior leads. T wave inversion in the anterior leads (V3–V4) and inferior leads (II, III, aVf) ‘arrows’.

Figure 5. Atrial paced rhythm with non-specific T wave changes.

Figure 5. Atrial paced rhythm with non-specific T wave changes.