Joshi P, Manoria P, Joseph D, Gandhi Z
Department of Medicine, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India.
J Postgrad Med. 2013 Apr-Jun;59(2):142-4. doi: 10.4103/0022-3859.113843.
Organophosphorus compounds are used as pesticides and represent a common cause of poisoning in developing countries including India due to their widespread availability and use. Toxicity due to these agents can affect many organs including heart. Here, we report a case of acute organophosphorus poisoning (parathion), followed by acute myocardial infarction; documented by clinical features, electrocardiographic changes, and elevated cardiac enzymes. Myocardial infarction has been rarely reported with organophosphorus compounds exposure, thus awareness of this complication can reduce morbidity and mortality.
有机磷化合物被用作杀虫剂，在包括印度在内的发展中国家，由于其广泛可得和使用，是中毒的常见原因。这些药剂的毒性可影响包括心脏在内的许多器官。在此，我们报告一例急性有机磷中毒（对硫磷）病例，随后发生急性心肌梗死；通过临床特征、心电图变化和心肌酶升高得以证实。有机磷化合物暴露后很少有心肌梗死的报道，因此认识到这种并发症可降低发病率和死亡率。
