Ghosh Sandip, Biswajit Majumder, Chatterjee Pritam K, Saurabh Saha, Sudeep K N, Shukla Praveen, Sharmistha Chatterjee
Senior Resident, Department of Cardiology, R.G. Kar Medical College, Kolkata, West Bengal.
Associate Professor, Department of Cardiology, R.G. Kar Medical College, Kolkata, West Bengal.
J Assoc Physicians India. 2018 Oct;66(10):92-93.
Aluminium phosphide poisoning is very common in India. It is one of the most fatal poisons. The clinical spectrum of poisoning varies depending upon the dosage and duration of consumption. The main effect of the poison is due to the release of phosphine which inhibits cytochrome oxidase and thereby hampers cellular oxygen utilization. Almost any organ can be affected by aluminium phosphide poisoning. We report a case where the heart was the predominantly affected organ. Cardiac involvement usually manifests with nonspecific ST-T changes in ECG. Here we report a case presented with ECG finding mimicking acute anteroseptal myocardial infarction which is extremely rare.
磷化铝中毒在印度非常常见。它是最致命的毒物之一。中毒的临床症状因摄入量和摄入持续时间而异。该毒物的主要作用是由于磷化氢的释放，磷化氢会抑制细胞色素氧化酶，从而阻碍细胞对氧气的利用。几乎任何器官都可能受到磷化铝中毒的影响。我们报告一例以心脏为主要受累器官的病例。心脏受累通常在心电图上表现为非特异性ST-T改变。在此，我们报告一例心电图表现酷似急性前间壁心肌梗死的病例，这极为罕见。
