摘要
We present a case of glyphosate-induced cardiogenic shock in a young man. The patient a 26-year-old man, presented with nausea and vomiting 4 hours after attempting suicide by drinking 150 mL of glyphosate surfactant. Cardiogenic shock with accelerated idio-ventricular rhythm on electrocardiography developed after admission. Intravenous injection of epinephrine, atropine, and calcium failed to improve the condition. Over the next 16 hours, the QRS complex gradually narrowed, sinus rhythm returned, and the hemodynamic status improved. Echocardiograms revealed diffuse left ventricular hypokinesis with markedly reduced ejection fraction while the patient was in shock; normal left ventricular function resumed the next day. In this case, the glyphosate surfactant poisoning-induced shock may have been due to transient suppression of the cardiac conduction system and contractility, rather than intravascular hypovolemia.
| 原文 | 英語 |
|---|---|
| 頁（從 - 到） | 698-700 |
| 頁數 | 3 |
| 期刊 | Journal of the Formosan Medical Association = Taiwan yi zhi |
| 卷 | 98 |
| 發行號 | 10 |
| 出版狀態 | 已發佈 - 十月 1999 |
| 對外發佈 | Yes |
指紋
ASJC Scopus subject areas
- Medicine(all)
引用此文
Cardiogenic shock in a patient with glyphosate-surfactant poisoning. / Lin, Chi Mo; Lai, Cha Po; Fang, Te Chao; Lin, Chin Lon.
於: Journal of the Formosan Medical Association = Taiwan yi zhi, 卷 98, 編號 10, 10.1999, p. 698-700.研究成果: 雜誌貢獻 › 文章
}
TY - JOUR
T1 - Cardiogenic shock in a patient with glyphosate-surfactant poisoning
AU - Lin, Chi Mo
AU - Lai, Cha Po
AU - Fang, Te Chao
AU - Lin, Chin Lon
PY - 1999/10
Y1 - 1999/10
N2 - We present a case of glyphosate-induced cardiogenic shock in a young man. The patient a 26-year-old man, presented with nausea and vomiting 4 hours after attempting suicide by drinking 150 mL of glyphosate surfactant. Cardiogenic shock with accelerated idio-ventricular rhythm on electrocardiography developed after admission. Intravenous injection of epinephrine, atropine, and calcium failed to improve the condition. Over the next 16 hours, the QRS complex gradually narrowed, sinus rhythm returned, and the hemodynamic status improved. Echocardiograms revealed diffuse left ventricular hypokinesis with markedly reduced ejection fraction while the patient was in shock; normal left ventricular function resumed the next day. In this case, the glyphosate surfactant poisoning-induced shock may have been due to transient suppression of the cardiac conduction system and contractility, rather than intravascular hypovolemia.
AB - We present a case of glyphosate-induced cardiogenic shock in a young man. The patient a 26-year-old man, presented with nausea and vomiting 4 hours after attempting suicide by drinking 150 mL of glyphosate surfactant. Cardiogenic shock with accelerated idio-ventricular rhythm on electrocardiography developed after admission. Intravenous injection of epinephrine, atropine, and calcium failed to improve the condition. Over the next 16 hours, the QRS complex gradually narrowed, sinus rhythm returned, and the hemodynamic status improved. Echocardiograms revealed diffuse left ventricular hypokinesis with markedly reduced ejection fraction while the patient was in shock; normal left ventricular function resumed the next day. In this case, the glyphosate surfactant poisoning-induced shock may have been due to transient suppression of the cardiac conduction system and contractility, rather than intravascular hypovolemia.
KW - Cardiogenic shock
KW - Cardiovascular suppression
KW - Glyphosate-surfactant poisoning
KW - Hypovolemic shock
UR - http://www.scopus.com/inward/record.url?scp=0032723090&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032723090&partnerID=8YFLogxK
M3 - Article
C2 - 10575841
AN - SCOPUS:0032723090
VL - 98
SP - 698
EP - 700
JO - Journal of the Formosan Medical Association
JF - Journal of the Formosan Medical Association
SN - 0929-6646
IS - 10
ER -