Citation

Mehrpour O, Asadi S, Yaghoubi MA, Azdaki N, Mahmoodabadi N, Javadmoosavi SY. Cardiovasc. Toxicol. 2019; 19(5): 474-481.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s12012-019-09513-0

PMID

30949845

Abstract

The mortality rate from aluminum phosphide (AlP) poisoning is as high as 70-100%, with refractory hypotension and severe metabolic acidosis being the two most common presentations in this poisoning. As this poisoning has no specific antidote, treatments revolve around supportive care. Cardiogenic shock created by toxic myocarditis is considered the main cause of mortality in these patients. Meanwhile, the intra-aortic balloon pump (IABP) has been suggested for the treatment of cardiogenic shock. This article reports the successful treatment of cardiogenic shock caused by AlP poisoning in a 17-year-old man and a 21-year-old woman using the IABP procedure.

Language: en

Keywords

Humans; Female; Male; Adolescent; Poisoning; Young Adult; Treatment Outcome; Suicide, Attempted; Pesticides; Hemodynamics; Cardiogenic shock; Aluminum phosphide; Cardiotoxicity; Phosphines; Recovery of Function; Shock, Cardiogenic; Phosphine; Aluminum Compounds; Intra-Aortic Balloon Pumping; Intraaortic balloon pump