case_images: PMC4442263_01
case_images: (a) Initial (before ILE treatment) electrocardiography of Case 1 with left bundle branch block. (b) Electrocardiography of Case 1 after bolus administration of intravenous lipid emulsion (5th minute of ILE). (c) Electrocardiography of Case 1 after intravenous lipid emulsion infusion (60th minute of ILE).
case_images: CRIEM2015-180921.001.jpg
case_images: PMC4442263_01_CRIEM2015-180921.001.jpg
case_images: fig1
case_images: His first electrocardiography (ECG) revealed a left bundle branch block (LBBB) (QRS complex width = 150 milliseconds) and sinus rhythm at a rate of 100 beats/minute (Figure 1). When the ILE infusion finished, the QRS complex was totally normal with width of 90 milliseconds (Figure 1).
case_images: PMC4442263_02
case_images: (a) Initial electrocardiography of Case 2 with sinus bradycardia. (b) Electrocardiography of Case 2, 45 minutes after initiation of intravenous lipid emulsion infusion.
case_images: CRIEM2015-180921.002.jpg
case_images: PMC4442263_02_CRIEM2015-180921.002.jpg
case_images: fig2
case_images: His ECG revealed sinus bradycardia at a rate of 41 beats/minute (Figure 2).
case_images: PMC4442263_03
case_images: (a) Initial (before ILE treatment) electrocardiography of Case 3 with sinus bradycardia. (b) Electrocardiography of Case 3 after bolus infusion (5th minute of ILE) of intravenous lipid emulsion.
case_images: CRIEM2015-180921.003.jpg
case_images: PMC4442263_03_CRIEM2015-180921.003.jpg
case_images: fig3
case_images: The ECG showed a sinus bradycardia at a rate of 36/minute (Figure 3).
case_images: PMC4442263_04
case_images: (a) Initial (before ILE treatment) electrocardiography of Case 4 with accelerated junctional rhythm concomitant with bigeminy ventricular extrasystoles. (b) Electrocardiography of Case 4 after bolus administration of intravenous lipid emulsion (5th minute of ILE). (c) Electrocardiography of Case 4 after intravenous lipid emulsion infusion (60th minute of ILE).
case_images: CRIEM2015-180921.004.jpg
case_images: PMC4442263_04_CRIEM2015-180921.004.jpg
case_images: fig4
case_images: On the fifth minute of ILE infusion, it was observed that the frequency of VES decreased, and after finishing the ILE infusion (at 60th minute of treatment), the patient's rhythm was sinus at a rate of 74 beats/minute with no VES (Figure 4).