Nodal Rhythm and Ventricular Parasystole: An Unusual Electrocariographic Presentation of Mad Honey Poisoning

Mad honey poisoning syndrome has been reported in the Eastern Black Sea region and Southeastern regions of Turkey. Herein we report a case of 70‐y‐old man presented with syncope and severe hemodynamic instability following ingestion of one teaspoon of honey and his unusual electrocardiographic manifestations: nodal rhythm alternating with sinus bradycardia and intermittant ventricular parasystole. In this report, we also tried to explain the possible mechanism responsible for these electrocardiographic findings. Copyright © 2009 Wiley Periodicals, Inc.