Citation

Szponar J, Kwiecień-Obara E, Krajewska A, Kostek H, Wysokiński A, Waciński P, Lewandowska-Stanek H. Przegl. Lek. 2012; 69(8): 603-605.

Vernacular Title

Zawał serca w przebiegu zatrucia glikolem etylenowym--opis przypadku.

Affiliation

Samodzielny Publiczny Szpital Wojewódzki im. Jana Bozego w Lublinie, Regionalny Ośrodek Toksykologii Klinicznej. szponar.jarek@gmail.com

Copyright

(Copyright © 2012, Przeglad Lekarski)

DOI

unavailable

PMID

23243941

Abstract

The following paper describes the case of the 59-year-old patient moved from Clinical Cardiology to the Centre of Clinical Toxicology because of severe ethylene glycol poisoning, which occurred in the course of myocardial infarction of inferior wall. Ethylene glycol concentration was 85 mg/dl, the blood pH - 6.9, troponin >50 ng/ml, CK-MB 297.1 U/L. ECG current of injury was found at the bottom of the wall cuts reflective reductions in section ST in leads I, aVL and the precordial leads. In the coronarography was RCA occlusion, OM critical stenosis and suspected mouth of LAD stenosis. RCA urgent angioplasty was performed with implantation of bare metal stents 5. In addition, toxicological treatment consisted of mechanical ventilation, hemodialysis, ethanol, and intensive medical care. On 19 day of hospitalization the patient in good general condition was discharged home.

Language: pl