Key result
Aluminium phosphide toxicity resulted in severe decrease in ventricular heart function in three cases, with one fatality and two recovering after invasive hemodynamic support.
Case Report (n=3)
Aluminium phosphide toxicity can cause severe but potentially reversible biventricular failure that may require invasive hemodynamic support.
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Alerts clinicians to potentially reversible biventricular failure in aluminium phosphide toxicity; leaves optimal support strategies open for prospective study.
Aluminium phosphide is commonly used as an insecticide and can be toxic to humans at the cellular level by interfering with mitochondrial energy metabolism. We report on three cases of severe aluminium phosphide cardio-toxicity, resulting in severe decrease in both ventricular heart functions. The first case succumbed to intractable ventricular arrhythmias complicated by multi-organ failure before she died; while the other two cases required invasive hemodynamic support and eventually improved over the course of 10-14 days. We describe our experience and the challenges faced while managing one of them.
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Elabbassi et al. (2013) conducted a case report in Aluminium phosphide cardio-toxicity (n=3). Aluminium phosphide was evaluated. Aluminium phosphide toxicity resulted in severe decrease in ventricular heart function in three cases, with one fatality and two recovering after invasive hemodynamic support.
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