Atrial Fibrillation: A Rare ECG Finding in Organophosphate Poisoning

Organophosphate (OP) poisoning is very common in developing countries. Organophosphate compounds irreversibly bind to cholinesterase receptors that lead to cholinergic excess symptoms through nicotinic, muscarinic and central nervous system receptors. OP compounds can lead to cardiac complications which include tachycardia, bradycardia, hypotension, arrhythmias, AV blocks, pulmonary edema and rarely myocardial infarction. We report a case of organophosphate poisoning associated with atrial fibrillation and case was managed with atropine, PAM, antiarrhythmic drugs and other conservative measures. Cardiac complications should be treated accordingly along with antidote and supportive measures in OP poisoning for good outcomes