
Cardiac arrest after ibogaine intoxication
Author(s) -
Steinberg Christian,
Deyell Marc W.
Publication year - 2018
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12061
Subject(s) - medicine , qt interval , defibrillation , anesthesia , ingestion , cardiology , pharmacology
Ibogaine is a psychoactive herbal medication with alleged antiaddiction properties. We report a case of ibogaine intoxication mimicking Long‐ QT syndrome resulting in ventricular flutter and nearby cardiac arrest. A 61‐year‐old man experienced massive QT prolongation and ventricular flutter at a rate of 270 beats per minute requiring defibrillation after ingestion of a large dose of Ibogaine. The ingested dose of 65‐70 mg/kg represents the highest survived ibogaine dose reported to date. As a result of the long plasma half‐life of ibogaine, it took 7 days for the patient's QT interval to normalize.