黄夹竹桃中毒致急性心肌梗死

Anandhi D, Prakash Raju K N J, Basha M H, Pandit V R

Department of Emergency Medicine and Trauma, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

J Postgrad Med. 2018 Apr-Jun;64(2):123-126. doi: 10.4103/jpgm.JPGM_141_17.

Self-harm by consuming yellow oleander seeds has become more frequent in South Asian countries, especially Sri Lanka and in southern parts of India. Yellow oleander poisoning usually presents with gastrointestinal, cardiovascular, and neurological manifestations as well as electrolyte abnormalities. Cardiac effects can manifest as nearly any type of dysrhythmia and sudden death with very few premonitory signs. To our knowledge yellow oleander poisoning related acute myocardial infarction has not yet been reported. We report a 37-year-old man with yellow oleander poisoning who had normal sinus rhythm at presentation but within few hours developed acute ST-segment myocardial infarction.

在南亚国家，尤其是斯里兰卡和印度南部，食用黄花夹竹桃种子进行自我伤害的情况变得越来越频繁。黄花夹竹桃中毒通常表现为胃肠道、心血管和神经方面的症状以及电解质异常。心脏影响几乎可以表现为任何类型的心律失常和猝死，且几乎没有先兆症状。据我们所知，尚未有关于黄花夹竹桃中毒相关急性心肌梗死的报道。我们报告了一名37岁的黄花夹竹桃中毒男性患者，其就诊时窦性心律正常，但在数小时内发展为急性ST段心肌梗死。