title: Acute myocardial infarction: can it be a complication of acute organophosphorus compound poisoning?
abstract: Organophosphorus compounds are used as pesticides and represent a common cause of poisoning in developing countries including India due to their widespread availability and use. Toxicity due to these agents can affect many organs including heart. Here, we report a case of acute organophosphorus poisoning (parathion), followed by acute myocardial infarction; documented by clinical features, electrocardiographic changes, and elevated cardiac enzymes. Myocardial infarction has been rarely reported with organophosphorus compounds exposure, thus awareness of this complication can reduce morbidity and mortality.
authors.affiliation: Department of Medicine, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh, India.
authors.forename: P
authors.initials: P
authors.lastname: Joshi
authors.forename: P
authors.initials: P
authors.lastname: Manoria
authors.forename: D
authors.initials: D
authors.lastname: Joseph
authors.forename: Z
authors.initials: Z
authors.lastname: Gandhi
mesh_terms: D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage; D000931:Antidotes / Q000008:administration & dosage; D001285:Atropine / Q000008:administration & dosage; D006801:Humans; D007306:Insecticides / Q000506:poisoning*; D008297:Male; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D062025:Organophosphate Poisoning / Q000188:drug therapy; D010278:Parathion / Q000009:adverse effects / Q000633:toxicity*; D011220:Pralidoxime Compounds / Q000008:administration & dosage; D013406:Suicide, Attempted; D016896:Treatment Outcome
chemical_list: D000889:Anti-Arrhythmia Agents; D000931:Antidotes; D007306:Insecticides; D011220:Pralidoxime Compounds; D010278:Parathion; D001285:Atropine; C028797:pralidoxime