Manrique-Marquez Maria V, Juarez-Lloclla Jorge P, Rodríguez-Saldaña Christian A, León-Jiménez Franco
Department of Internal Medicine, Peru-Korea Santa Rosa II-2 Hospital, Piura, Peru.
Department of Cardiology, Peru-Korea Santa Rosa II-2 Hospital, Piura, Peru.
Case Rep Cardiol. 2025 Aug 22;2025:8858716. doi: 10.1155/cric/8858716. eCollection 2025.
We present the case of a 27-year-old woman who ingested aluminum phosphide (AlP) in a suicide attempt, leading to severe toxic myocarditis and a transient Brugada pattern (Brugada phenocopy [BrP]) on her electrocardiogram (ECG). The initial treatment included supportive measures and management of a non-ST elevation acute coronary syndrome. Despite the severity of her condition, the patient stabilized, with normalization of ECG findings and improvement in left ventricular function. This case highlights the importance of recognizing BrP as a potential manifestation of toxic myocarditis, especially in the context of AlP poisoning, and underscores the critical need for early intervention and appropriate management.
我们报告了一名27岁女性的病例，她因自杀企图摄入了磷化铝（AlP），导致严重的中毒性心肌炎，并在其心电图（ECG）上出现短暂的Brugada波型（Brugada类征[BrP]）。初始治疗包括支持性措施和非ST段抬高型急性冠状动脉综合征的管理。尽管病情严重，但患者病情稳定，心电图结果恢复正常，左心室功能改善。该病例强调了认识到BrP作为中毒性心肌炎潜在表现的重要性，尤其是在AlP中毒的情况下，并强调了早期干预和适当管理的迫切需求。
