Survival despite extremely high plasma diltiazem level in a case of acute poisoning treated by the molecular-adsorbent recirculating system

Dear Sir,The toxicity of sustained-release diltiazem formulation is well documented, with a delayed onset but with a sustained vasoplegia. The variable time course of toxicity relates to the unpredictable changes in the concentration of diltiazem. The treatment of diltiazem poisoning is mainly suppo