title: Acute myocardial infarction and renal failure following naphtha ingestion.
abstract: We present a case of a non-Q wave myocardial infarction and acute renal failure following an ingestion of naphtha, a petroleum distillate composed primarily of hydrocarbons. The patient's renal, metabolic, and cardiac status improved over several days with aggressive volume replacement and bicarbonate therapy. Acute cardiotoxic effects of hydrocarbon exposure generally manifest as dysrhythmias, secondary to myocardial sensitization to circulating catecholamines, or, possibly, coronary vasospasm. Ischemia from associated hypotension or direct myocardial toxicity are other potential causes of naphtha-related cardiac injury.
authors.affiliation: Department of Emergency Medicine, St. Francis Medical Center, Pittsburgh, PA 15201, USA.
authors.forename: R J
authors.initials: RJ
authors.lastname: Roberge
authors.forename: D R
authors.initials: DR
authors.lastname: Crippen
authors.forename: D
authors.initials: D
authors.lastname: Jayadevappa
authors.forename: T L
authors.initials: TL
authors.lastname: Kosek
mesh_terms: D000473:Alkanes / Q000506:poisoning*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced*; D051437:Renal Insufficiency / Q000139:chemically induced*
chemical_list: D000473:Alkanes; C004544:naphtha