Open AccessToxic Myocardial Injury in a Patient With Coronary Atherosclerosis, Caused by Acute Poisoning With Gaseous Chlorine
Author(s) -
Х. Г. Алиджанова,
A. Moiseeva,
А. М. Пашаева,
М. М. Поцхверия,
Г. А. Газарян,
С. Ю. Камбаров
Publication year - 2021
Publication title -
neotložnaâ medicinskaâ pomoŝʹ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 3
eISSN - 2541-8017
pISSN - 2223-9022
DOI - 10.23934/2223-9022-2021-10-1-205-215
Subject(s) - medicine , cardiology , acute coronary syndrome , coronary arteries , coronary artery disease , artery , myocardial infarction
Acute chlorine gas poisoning leads to activation of the sympathetic nervous system and, as a consequence, dysfunction of the cardiovascular system (CVS). We report a clinical case of toxic myocardial injury with gaseous chlorine. In a man with coronary artery disease and polypathy, toxic myocardial injury mimicked acute coronary syndrome (ACS) and was accompanied by a large area of left ventricular microvascular dysfunction, which did not coincide with the areas of blood supply of altered coronary arteries; the dynamics of electrocardiographic changes resembled myocardial stunning in Takotsubo syndrome (TS). The effect of chlorine on CVS, features of clinical and instrumental diagnostics and differentiation of primary / secondary CT and ACS are discussed.