Seizures in the Setting of Metoprolol Overdose
Year: 2024
Type: article
Abstract: Beta-blockers are commonly prescribed for several conditions including hypertension, cardiac arrhythmias, coronary artery disease, and heart failure. Their physiologic effects also contribute to the often-devastating results when taken in excess. Beta-blocker overdosing can lead to bradycardia, hypotension, and ultimately cardiogenic shock. In this case report we review an 18-year-old female who ingested multiple drugs, including a significant amount of metoprolol, in a suicide attempt. Multiple interventions were initiated in the Emergency Department to combat the medications' negative cardiovascular and neurologic effects. Despite these interventions, the patient had a seizure followed by multiple cardiac arrest events, leading to anoxic brain injury and eventually the declaration of brain death. The case underscores the challenges in managing beta-blocker overdose and highlights the need for vigilance in recognizing and treating its potentially life-threatening complications.
Authors: Sodergren, Hannah, H. Le, Justin, Amin, Shilpa
Language: English
Subfield: Emergency Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W6893101266
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