Magnesium Sulfate Combination Therapy for Aconitine-Induced Electrical Storm.

We present the case of a 74-year-old man who developed 28 episodes of electrical storm secondary to aconitine poisoning from homemade herbal wine consumption, followed by complete recovery through 28 electrical cardioversions, hemopurification, and continuous magnesium sulfate infusion after 4 days. This case suggests that magnesium sulfate, by antagonizing calcium overload and stabilizing membrane potential, forms a synergistic effect with electrical resuscitation and hemopurification, and is the key to reversing the electrical storms caused by aconitine poisoning.