Aconitine Intoxication Misdiagnosed as Acute Myocardial Infarction

In Asia, aconitine poisoning is common because of the continued use of aconite roots in traditional medicine as an analgesic, anti-inflammatory, and cardiotonic agent. Aconitine and other Aconitum alkaloids are highly poisonous cardio-toxins and neurotoxins present in all parts of the plants of the Aconitum genus (aconite). The major toxin in these plants is aconitine, which interacts with the voltage-gated sodium channels. Here, I report an unusual case of acute aconitine intoxication manifesting as chest tightness and ST-segment elevation that mimicked acute myocardial infarction (AMI).