Quinine Water-Triggered Atrial Tachyarrhythmia
Quinine is an anti-malarial drug with documented hematologic, dermatologic, and cardiovascular side effects. Tonic water contains a sub-therapeutic amount of quinine and is available over the counter. However, the public is unaware of the risks associated with excessive consumption of tonic water. W...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2022-12, Vol.14 (12), p.e32706 |
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| creator | Elmusa, Emad Asghar, Hannan Hamza, Ameer Raza, Muhammad Waleed Rodriguez, Ismael |
| description | Quinine is an anti-malarial drug with documented hematologic, dermatologic, and cardiovascular side effects. Tonic water contains a sub-therapeutic amount of quinine and is available over the counter. However, the public is unaware of the risks associated with excessive consumption of tonic water. We present a patient who developed atrial flutter with a rapid ventricular response following the consumption of tonic water. The patient responded to rate control therapy and was discharged the following day with a plan to follow up in the outpatient department with an electrophysiologist. Although quinine has been shown to have ventricular anti-arrhythmic effects, its effect on the atria has not been determined. We present this case to bring greater awareness to the cardiovascular risks associated with the consumption of tonic water to reduce morbidity and mortality. |
| doi_str_mv | 10.7759/cureus.32706 |
| format | Article |
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Tonic water contains a sub-therapeutic amount of quinine and is available over the counter. However, the public is unaware of the risks associated with excessive consumption of tonic water. We present a patient who developed atrial flutter with a rapid ventricular response following the consumption of tonic water. The patient responded to rate control therapy and was discharged the following day with a plan to follow up in the outpatient department with an electrophysiologist. Although quinine has been shown to have ventricular anti-arrhythmic effects, its effect on the atria has not been determined. We present this case to bring greater awareness to the cardiovascular risks associated with the consumption of tonic water to reduce morbidity and mortality.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.32706</identifier><identifier>PMID: 36686142</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Cardiac arrhythmia ; Cardiac stress tests ; Cardiology ; Case reports ; Creatinine ; Electrocardiography ; Heart rate ; Hypertension ; Internal Medicine ; Morbidity ; Mortality ; Prostate cancer ; Sodium</subject><ispartof>Curēus (Palo Alto, CA), 2022-12, Vol.14 (12), p.e32706</ispartof><rights>Copyright © 2022, Elmusa et al.</rights><rights>Copyright © 2022, Elmusa et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). 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| subjects | Cardiac arrhythmia Cardiac stress tests Cardiology Case reports Creatinine Electrocardiography Heart rate Hypertension Internal Medicine Morbidity Mortality Prostate cancer Sodium |
| title | Quinine Water-Triggered Atrial Tachyarrhythmia |
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