Volume 17, Issue 5 (12-2023)
payavard 2023, 17(5): 425-433 |
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Sadeghian M H, Jahan P, Aarefi M. Changes in Echocardiography and Electrocardiogram among Patients Poisoned with Aluminum Phosphide Referred to the Baharloo Specialized Hospital. payavard 2023; 17 (5) :425-433
URL: http://payavard.tums.ac.ir/article-1-7422-en.html
URL: http://payavard.tums.ac.ir/article-1-7422-en.html
1- Associate Professor, Department of Forensic Medicine, School of Sciences, Tehran University of Medical Sciences, Tehran, Iran
2- Forensic Medicine, Department of Forensic Medicine, School of Sciences, Tehran University of Medical Sciences, Tehran, Iran
3- Forensic Medicine, Department of Forensic Medicine, School of Sciences, Tehran University of Medical Sciences, Tehran, Iran ,marefi@sina.tums.ac.ir
2- Forensic Medicine, Department of Forensic Medicine, School of Sciences, Tehran University of Medical Sciences, Tehran, Iran
3- Forensic Medicine, Department of Forensic Medicine, School of Sciences, Tehran University of Medical Sciences, Tehran, Iran ,
Abstract: (322 Views)
Background and Aim: Aluminum phosphide poisoning is one of the fatal poisonings in Asian countries, including Pakistan and India, which requires urgent treatment. Since one of the most important symptoms in patients poisoned with aluminum phosphide is cardiovascular manifestations; it seems that electrocardiogram and echocardiographic changes are one of the important things that need to be measured in patients poisoned with this substance. Therefore, the study was designed to investigate electrocardiogram and echocardiographic changes in patients poisoned with aluminum phosphide.
Materials and Methods: The present study was conducted cross-sectionally 2019-2021 on 107 patients poisoned with aluminum phosphide who referred to the poisoning emergency of Baharloo Hospital in Tehran. All patients were included in the study due to taking tablets, solution or inhalation of aluminum phosphide. Finally, the patients› information was collected based on the variables investigated in this study including age, gender, poisoning dose, time interval between taking pills and admission to the hospital, systolic blood pressure level, electrocardiogram and echocardiography changes.
Results: The mean systolic blood pressure was 107 mmHg at the beginning of the study that changed to 103 mmHg after 24 hours. In addition, the mean diastolic blood pressure was 71.19 mmHg at the beginning of the study that changed to 68.66 mmHg after 24 hours. The blood pH of the patients at the beginning of the study and after 24 hours, was 6.99 and 7.39, respectively (P-value= 0.081). The mean EF was 40.68at the beginning of the study which, on average, changed to 46.57 mmHg after 24 hours (%5.21 increase, P-value= 0.029).
Conclusion: The results of the present study showed that extensive changes in the echocardiography of the heart, especially the left ventricular ejection fraction, as well as the patient›s ECG could indicate the severity of heart poisoning in patients poisoned with aluminum phosphide.
Materials and Methods: The present study was conducted cross-sectionally 2019-2021 on 107 patients poisoned with aluminum phosphide who referred to the poisoning emergency of Baharloo Hospital in Tehran. All patients were included in the study due to taking tablets, solution or inhalation of aluminum phosphide. Finally, the patients› information was collected based on the variables investigated in this study including age, gender, poisoning dose, time interval between taking pills and admission to the hospital, systolic blood pressure level, electrocardiogram and echocardiography changes.
Results: The mean systolic blood pressure was 107 mmHg at the beginning of the study that changed to 103 mmHg after 24 hours. In addition, the mean diastolic blood pressure was 71.19 mmHg at the beginning of the study that changed to 68.66 mmHg after 24 hours. The blood pH of the patients at the beginning of the study and after 24 hours, was 6.99 and 7.39, respectively (P-value= 0.081). The mean EF was 40.68at the beginning of the study which, on average, changed to 46.57 mmHg after 24 hours (%5.21 increase, P-value= 0.029).
Conclusion: The results of the present study showed that extensive changes in the echocardiography of the heart, especially the left ventricular ejection fraction, as well as the patient›s ECG could indicate the severity of heart poisoning in patients poisoned with aluminum phosphide.
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