The paradoxical pro-arrhythmic effect of ginseng: a case of atrial fibrillation in a healthy adult

Herbal supplements -especially ginseng-may trigger atrial fibrillation, even in young patients without structural heart disease.Ginseng consumption has paradoxical cardiovascular effects, ranging from proarrhythmic to antiarrhythmic.Always investigate the use of over-the counter and supplemental medications when evaluating palpitations or new-onset atrial fibrillation in the emergency department or internal medicine department.