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Year : 2020  |  Volume : 17  |  Issue : 1  |  Page : 42-43

Zinc phosphide poisoning precipitating undiagnosed coronary artery disease: successfully managed

Specialist in Pulmonary Medicine, Former Doctor of Critical Care Medicine, Indraprastha Apollo Hospitals, New Delhi, India

Correspondence Address:
Krittibus Samui
Jilipibagan Near Ata Chaki, Sripally, Burdwan - 713 103, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/am.am_77_19

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Zinc phosphide is a rodenticide which reacts with gastric acid and produces phosphine gas which produces systemic effects. We present the case of a 32-year-old patient with alleged history of zinc phosphide ingestion. After 15 h of ingestion, he was brought to us following initial supportive care outside. All routine investigations were done. Electrocardiogram showed antero–inferior wall acute myocardial infarction with right bundle branch block. The patient developed chest pain on the next day of admission. Coronary angiography revealed stenosis of the left anterior descending artery with clot. Percutaneous coronary angioplasty with stenting was done. He was discharged in a stable condition. Zinc phosphide poisoning precipitating acute coronary syndrome is a rare entity. Although patients may not present with initial chest pain, still they need intensive monitoring.

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