Key result
Severe aluminum phosphide poisoning can unmask Brugada ECG patterns, potentially explaining acute infarction in toxic myocarditis.
Case Report (n=1)
Aluminum phosphide poisoning can unmask a Brugada pattern on ECG, which may have been previously misidentified as an acute infarction pattern.
May prompt ECG scrutiny for Brugada pattern in aluminum phosphide poisoning; hypothesis-generating for reinterpreting prior toxic myocarditis reports.
Brugada pattern electrocardiogram (ECG) unmasking can occur due to various drugs. There are old reports of the acute infarction pattern in aluminum phosphide (rodenticide)-related toxic myocarditis. The given case illustrates the Brugada pattern and various other ECG abnormalities in a patient with this poisoning. The old reported cases of the acute infarction pattern are also likely the Brugada pattern.
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Nayyar et al. (2009) conducted a case report in Toxic myocarditis due to severe aluminum phosphide poisoning (n=1). Aluminum phosphide poisoning was evaluated on Brugada pattern ECG unmasking. Severe aluminum phosphide poisoning can unmask a Brugada pattern electrocardiogram, which may explain previously reported acute infarction patterns in toxic myocarditis.
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