Early repolarization pattern with oral liquid nicotine

While most sudden cardiac deaths are due to structural heart disease or cardiac ischemia, intoxications are rather rare and often unrecognized. Here we present a case of a 35-year-old patient who trickled cumulative 60 mg of the pure nicotine liquid. This led to cardiac arrest and ventricular fibrillation. After defibrillation the ECG showed pronounced early repolarization pattern with an AV block I°.