Cardiotoxic effect due to accidental ingestion of an organic solvent

• Authors: Urszula I. Cieślik-Guerra , Tomasz Rechciński , Ewa Trzos , Karina Wierzbowska-Drabik , Barbara Uznańska-Loch , Renata Winnicka , Anna Krakowiak , Jarosław D. Kasprzak , Colin Fröhlich , Małgorzata Kurpesa

Abstracts

EN

Toxic myocardial injury can be misdiagnosed as a myocardial infarction, resulting in the patient undergoing standard treatment for cardiac rehabilitation. However, such inadequate therapeutic strategies can lead to cardiovascular complications including dilated cardiomyopathy. This study presents a case of a 65-year-old man after accidental ingestion of organic solvents (toluene and xylene), whose condition demonstrated all the criteria for diagnosis of myocardial infarction. The qualitative determinations of the above mentioned volatile organic compounds (VOCs) in whole blood were carried out using a headspace sampling by means of gas chromatography. Cardiac catheterization revealed no specific coronary lesions, only a muscular bridge causing a 30–50% stenosis in the middle of the circumflex branch of the left coronary artery.

Keywords

EN

miocardial infarction; cardiotoxicity; xylene; poisoning; volatile organic compounds; toluene

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2015
• Volume: 28
• Issue: 1
• Pages: 174-179

Dates

published

2015

Contributors

author

Urszula I. Cieślik-Guerra

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital)

author

Tomasz Rechciński

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital)

author

Ewa Trzos

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital)

author

Karina Wierzbowska-Drabik

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital)

author

Barbara Uznańska-Loch

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital)

author

Renata Winnicka

• Nofer Institute of Occupational Medicine, Łódź Poland (Toxicological Laboratory)

author

Anna Krakowiak

• Nofer Institute of Occupational Medicine, Łódź, Poland (Toxicology Unit)

author

Jarosław D. Kasprzak

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital)

author

Colin Fröhlich

• Medical University of Lodz, Łódź, Poland (Faculty of Medicine with the Division of Dentistry)

author

Małgorzata Kurpesa

• Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital)

Identifiers

DOI

10.13075/ijomeh.1896.00257

Biblioteka Nauki

2177006