TY - JFULL AU - M. Hakami and A. Jammaly and I. Attafi and M. Oraiby and M. Jeraiby PY - 2017/2/ TI - Acute Myocardial Infarction Associated with Ingestion of Herbal Mixtures Containing Acetylcholinesterase Inhibitors: A Case Study T2 - International Journal of Law and Political Sciences SP - 36 EP - 42 VL - 11 SN - 1307-6892 UR - https://publications.waset.org/pdf/10006815 PU - World Academy of Science, Engineering and Technology NX - Open Science Index 121, 2017 N2 - We reviewed an unusual case of a 65-year-old male taking an herbal mixture containing compounds with anticholinesterase activity for a long period of time, presented with acute my myocardial infarction and multiple organ dysfunction syndrome followed by death. Clinically, there are findings correlated with anticholinesterase activity, such as bilateral miosis, diaphoresis, vomiting and fasciculation without a history of any toxic ingestion or exposure. Gas chromatography–mass spectrometry screening studies identified the presence of thymol, anethole in the herbal extract and butylated hydroxytoluene in the blood sample. Hence, with this case report, we intend to highlight the necessity of evaluating the long-term use of the herbal mixture. ER -