Abstract
India being a land of farmer, the pesticides are freely and easily available and therefore organophosphorous poisoning is one of the major health issues. Suicidal poisoning is more common than accidental poisoning. Cardiac manifestations of organophosphorous poisoning are well known. It results in various electrocardiographic changes from sinus tachycardia to ST elevation. We hereby present a rare ECG finding of ventricular bigeminy in a case of acute organophosphorous poisoning.