Acute myocardial injury caused presumably by coronary spasm after magnesium fluoro-silicate ingestion.
A patient who developed magnesium fluoro-silicate poisoning is described. This condition was manifest by the findings of acute chest pain, dysphagia, diarrhea, metabolic acidosis, hypocalcemia and hypomagnesemia and was complicated by acute myocardial injury-a phenomenon not previously described. Coronary cineangiography showed normal coronary arteries. The physiopathologic mechanisms of this electrocardiographic finding are discussed.
Ortega-Carnicer
J
J
Coronary Care Unit, Hospital Alarcos, Los Alisos 10, 13002-Ciudad Real, Spain. JORTEGACAR@NEXO.ES
de la Nieta
D S
DS
Alcázar
R
R
D003326:Coronary Circulation; D003329:Coronary Vasospasm / Q000139:chemically induced / Q000150:complications*; D004562:Electrocardiography; D006327:Heart Block / Q000097:blood / Q000139:chemically induced* / Q000503:physiopathology; D006329:Heart Conduction System / Q000187:drug effects* / Q000503:physiopathology; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology; D008274:Magnesium / Q000097:blood; D017633:Magnesium Silicates / Q000633:toxicity*; D008297:Male; D008875:Middle Aged
D017633:Magnesium Silicates; D008274:Magnesium