A 64-year-old male patient with no medical or coronary heart disease history referred to a public hospital for acute abdominal pain. A specialist in the emergency department clinically examined the patient's abdominal pain, weakness, and numbness. The patient had abdominal pain, weakness, numbness, sweating, dryness, and burning mouth for 1 hour. The abdominal pain was localized to the epigastric region spread to the back and got worse with 7/10 intensity after lying down. The patient reported no change in his bowel habits, no nausea and vomiting, and no history of trauma to his chest or abdomen. He also had no history of substance or alcohol use.
Abdominal pain and its symptoms appeared after drinking medicinal herbs. The abdomen was soft without tenderness and rebound tenderness. Gastrointestinal consultation showed no abnormality. The patient had a blood pressure of 80/50 and a heart rate of 115 beats per minute (bpm). The lung and heart sounds were normal and the pulse of the distal organs was full and symmetrical. The patient was also evaluated for myocardial infarction (MI), and the troponin test was negative. An irregular heartbeat was observed in the patient's ECG and cardiac monitoring (Figure 1). Ventricular arrhythmia (an automatic focus, monomorphic, variable cycle length, and nonsustained VT) with a stable hemodynamic state was diagnosed. Oxygen therapy and antiarrhythmic treatment were prescribed in the emergency department. 150 mg amiodarone was used to control the patient's arrhythmia. The patient was referred to the Coronary Care Unit(CCU) for further evaluation. He was hospitalized in the CCU for 48 hours, evaluated for any arrhythmia, and received cardiac medication. One mg/min amiodarone was used to control the patient's arrhythmia for 6 hours, and then, 0.5 mg/min amiodarone was used for 18 hours. The probabilities of cardiomyopathy as well as toxicity were rejected. Finally, the patient was discharged after 72 hours after taking the necessary examinations.