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Toxic Myocarditis with Brugada Phenocopy in a Case of Aluminum Phosphide Poisoning.

Authors :
Nalawade, Digvijay D.
Jadhav, Ajitkumar
Wadhokar, Pratik S.
Khan, Anishkumar
Gupta, Aryan
Malani, Susheel Kumar
Source :
Journal of Tehran University Heart Center. 2024, Vol. 19 Issue 2, p147-150. 4p.
Publication Year :
2024

Abstract

Brugada phenocopy is considered when a Brugada-type ECG pattern is present but with a low likelihood of true Brugada syndrome, as indicated by negative family history, genetic testing, or provocative testing with drugs, or ECG normalization after the removal of precipitants. Brugada phenocopy has been reported due to various causes such as fever and electrolyte imbalance. We describe a 22-year-old man who presented with aluminum phosphide poisoning, resulting in severe metabolic acidosis, myocarditis, and profound myocardial depression. He developed transient Brugada-like ECG changes and multiorgan dysfunction, requiring intensive management, including mechanical ventilation and inotropes. Brugada phenocopy is a rare manifestation of aluminum phosphide-associated toxic myocarditis. After a week of treatment, there was a significant improvement in cardiac function and overall clinical status. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17358620
Volume :
19
Issue :
2
Database :
Academic Search Index
Journal :
Journal of Tehran University Heart Center
Publication Type :
Academic Journal
Accession number :
179058843