Cardiotoxic effect due to accidental ingestion of an organic solvent

Urszula Izabela Cieślik-Guerra1, Tomasz Rechciński2, Ewa Trzos2

  • 1Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology, Bieganski Hospital). cieursz@wp.pl.

Insights

Accidental ingestion of organic solvents mimicked myocardial infarction, leading to potential misdiagnosis. Early identification of toxic myocardial injury is crucial to prevent cardiac complications like dilated cardiomyopathy.

Area of Science:

  • Toxicology
  • Cardiology
  • Analytical Chemistry

Background:

  • Toxic myocardial injury can be misdiagnosed as myocardial infarction.
  • Inadequate treatment can lead to severe cardiovascular complications such as dilated cardiomyopathy.

Observation:

  • A 65-year-old man presented with symptoms fulfilling myocardial infarction criteria after accidental ingestion of toluene and xylene.
  • Gas chromatography identified volatile organic compounds (VOCs) in whole blood.

Findings:

  • Cardiac catheterization showed no significant coronary artery disease, only a muscular bridge.
  • The patient's condition mimicked myocardial infarction due to toxic myocardial injury from solvent ingestion.

Implications:

  • Highlights the importance of considering toxicological causes in myocardial injury diagnoses.
  • Emphasizes the need for specific diagnostic approaches beyond standard cardiac workups for solvent-induced cardiac injury.
  • Underscores the potential for misdiagnosis and delayed appropriate treatment in toxic myocardial injury cases.

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