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Acute Atrial Fibrillation Complicating Organophosphorus Poisoning.
Monika Maheshwari1, Shreekant Chaudhary2
1Jawaharlal Nehru Medical College, Ajmer, Rajasthan, India.
Heart Views : the Official Journal of the Gulf Heart Association
|November 30, 2017
Summary
Organophosphorus pesticide poisoning can cause cardiac issues. Prompt treatment of organophosphate compounds can help resolve complications like atrial fibrillation.
Area of Science:
- Toxicology
- Cardiology
- Public Health
Background:
- Organophosphorus (OP) pesticide poisoning is a significant health concern, particularly in developing nations like India.
- Cardiac injury is a critical determinant of mortality in OP poisoning cases.
- Common cardiac complications include arrest, pulmonary edema, and arrhythmias, with myocardial infarction being rare.
Observation:
- This case report details a patient admitted with OP poisoning.
- The patient developed acute-onset atrial fibrillation as a complication.
- The atrial fibrillation resolved to a normal sinus rhythm after OP compound detoxification.
Findings:
- Myocardial injury in OP poisoning may stem from autonomic overactivity, hypoxemia, acidosis, electrolyte imbalances, or direct cardiotoxicity.
- Acute atrial fibrillation is a potential, though less common, cardiac manifestation of OP poisoning.
- Successful detoxification of the organophosphate agent led to the reversion of atrial fibrillation.
Implications:
- This case highlights the importance of monitoring cardiac function in OP poisoning patients.
- Early and effective management of OP poisoning is crucial for preventing severe cardiac complications.
- Understanding the cardiotoxic effects of OP compounds can improve patient outcomes and inform public health strategies.
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