International Journal of Medical Toxicology & Legal Medicine
  • Year: 2011
  • Volume: 14
  • Issue: 1

"Electrocardiographic abnormalities in aluminium phosphide poisoning"

  • Author:
  • Kauser Usman1, D Himanshu1, Shailendra Prasad Verma1, Deep Chandh Raja1, Roopali Khanna2
  • Total Page Count: 5
  • Page Number: 68 to 72

1Deptt. of Internal Medicine, Chhatrapati Shahuji Maharaj Medical University (KGMC), Lucknow, Uttar Pradesh, India

2Deptt. of Cardiology, Sanjay Gandhi Post Graduate Institute, Lucknow, Uttar Pradesh, India

Online published on 12 June, 2014.

Abstract

A prospective analysis on the incidence and patterns of electrocardiographic abnormalities in 25 patients of acute aluminium phosphide poisoning, is presented ST and T changes were the commonest abnormalities. Various other abnormalities ranging from sinus arrythmias to bundle branch blocks were observed. The mortality rate in those with ECG changes was 24%. A unique observation in this study was the high mortality rates (50%) observed in patients presenting with ECG changes along with moderate to severe elevations in cardiac troponin T. Metabolic acidosis was the predominant acidbase disorder observed as one would expect in this poisoning.

Keywords

Aluminum phosphide Poisoning, ECG (electrocardiograph), Cardiac Troponin T