title: A Case of Survival: Myocardial Infarction and Ventricular Arrhythmia Induced by Severe Hydrogen Sulfide Poisoning.
abstract: Most cases of acute hydrogen sulfide (H2S) poisoning in China are caused by sewage processing. With the rapid development of urbanization in China, H2S poisoning is showing an increasing trend. Here, we report a case of survival from severe H2S poisoning. A 40-year-old worker was found in the underground sewer lines. He was unresponsive with bilaterally dilated pupils and had poor oxygen saturation. After intubation, he was transferred to the intensive care unit. He developed respiratory failure, acute myocardial infarction, ventricular arrhythmia and left ventricular function impairment, requiring artificial ventilation with highly concentrated oxygen, hyperbaric oxygen treatment and drug therapy. Consequently, he completely recovered from the respiratory and cardiac failure. Cases of survival after severe H2S intoxication have been rarely reported. Such exposures may bring about severe myocardial impairment, which is most likely to benefit from angiotensin-converting enzyme inhibition and β-blocker.
authors.affiliation: Department of Cardiology, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Chen
authors.forename: Shenjie
authors.initials: S
authors.lastname: Chen
authors.forename: Wei
authors.initials: W
authors.lastname: Mao
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D001145:Arrhythmias, Cardiac / Q000139:chemically induced* / Q000188:drug therapy; D003128:Coma / Q000139:chemically induced; D000072226:Computed Tomography Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D006333:Heart Failure / Q000139:chemically induced / Q000188:drug therapy; D006801:Humans; D006862:Hydrogen Sulfide / Q000506:poisoning*; D008297:Male; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000188:drug therapy; D011041:Poisoning / Q000628:therapy
chemical_list: D000319:Adrenergic beta-Antagonists; D006862:Hydrogen Sulfide