Surviving a Massive Sodium Azide Poisoning with Toxic Cardiomyopathy | Zendy

Pavel Overtchouk | Zendy; Julien Poissy | Zendy; C. Thieffry | Zendy; J.C. Linke | Zendy; Daniel Mathieu | Zendy

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Surviving a Massive Sodium Azide Poisoning with Toxic Cardiomyopathy

Author(s) -

Pavel Overtchouk,

Julien Poissy,

C. Thieffry,

J.C. Linke,

Daniel Mathieu

Publication year - 2015

Publication title -

international cardiovascular forum journal

Language(s) - English

Resource type - Journals

eISSN - 2410-2636

pISSN - 2409-3424

DOI - 10.17987/icfj.v4i0.151

Subject(s) - antidote , sodium azide , cyanide poisoning , ingestion , cardiomyopathy , azide , cyanide , medicine , toxicology , toxicity , chemistry , heart failure , biology , biochemistry , inorganic chemistry , organic chemistry

Sodium azide is a highly toxic chemical agent, which effects are similar to cyanide, and its ingestion is almost constantly fatal when the dose is above 1g. We report the case of a 69-year-old woman who survived a massive sodium azide poisoning with an unsual clinical course and outcome. It caused severe toxic cardiomyopathy presenting like a silent myocardial infaction with systolic and diastolic impairment that lasted one month. There is no antidote. We present a review of the literature about this rare poisoning, its mechanisms and discuss treatment options.

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