title: Cardiotoxic effect due to accidental ingestion of an organic solvent.
abstract: 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.
authors.affiliation: Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital). cieursz@wp.pl.
authors.forename: Urszula Izabela
authors.initials: UI
authors.lastname: Cieślik-Guerra
authors.affiliation: Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital).
authors.forename: Tomasz
authors.initials: T
authors.lastname: Rechciński
authors.affiliation: Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital).
authors.forename: Ewa
authors.initials: E
authors.lastname: Trzos
authors.affiliation: Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital).
authors.forename: Karina
authors.initials: K
authors.lastname: Wierzbowska-Drabik
authors.affiliation: Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital).
authors.forename: Barbara
authors.initials: B
authors.lastname: Uznańska-Loch
authors.affiliation: Nofer Institute of Occupational Medicine, Łódź Poland (Toxicological Laboratory).
authors.forename: Renata
authors.initials: R
authors.lastname: Winnicka
authors.affiliation: Nofer Institute of Occupational Medicine, Łódź, Poland (Toxicology Unit).
authors.forename: Anna
authors.initials: A
authors.lastname: Krakowiak
authors.affiliation: Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital).
authors.forename: Jarosław Damian
authors.initials: JD
authors.lastname: Kasprzak
authors.affiliation: Medical University of Lodz, Łódź, Poland (Faculty of Medicine with the Division of Dentistry).
authors.forename: Colin
authors.initials: C
authors.lastname: Fröhlich
authors.affiliation: Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital).
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Kurpesa
mesh_terms: D000368:Aged; D066126:Cardiotoxicity / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D012997:Solvents / Q000506:poisoning*; D014050:Toluene / Q000506:poisoning*; D014992:Xylenes / Q000506:poisoning*
chemical_list: D012997:Solvents; D014992:Xylenes; D014050:Toluene
keywords: cardiotoxicity; miocardial infarction; poisoning; toluene; volatile organic compounds; xylene