Abstract:

Purpose: This study aims to investigate the demographic, clinical characteristics of patients followed by the diagnosis of mad honey poison (DBZ) and to analyze the electrocardiographic parameters. Instruments and Methods: From June 2013 to November 2014, 68 patients followed and treated due to DBZ diagnosis in the Emergency Service of the Rize Fındıklı Provincial State Hospital were included in our retrospective study. Age, gender, toxic characteristics, laboratory parameters, heart rate, systolic and diastolic blood pressure, laboratory parameters were recorded and analysed in terms of elektrocardiography (ECG) data. According to the observed cQT (correct QT interval) extension and the presence of QRS extension in the ECG, patients were divided into separate groups, and intergroup comparisons were made. Results: In the group of patients included in the working population, 32 (47.1%) patients observed cQT extension and 19 (27.9%) patients observed QRS extension. In the past, the history of mad honey consumption, the amount of isotonic sodium chloride used in treatment and QRS distance QT extension were significantly increased in the DBZ patient group. In patients with DBZ with QRS extension, there was no clinical, laboratory variables difference, while there was a significant difference in cQT. The result: Hypotension and bradiarithm are frequently observed in DBZ patients. ECG parameters in terms of risk determination, prognosis determination and clinical observation are often used in patients with poisoning and have critical importance. In this study, we also assessed the frequency of QT extension and QRS extension, which could prepare the ground for malign ventricular arithms in DBZ patients, and aimed at providing intergroup comparative analyses.

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