Frequency of electro-cardiographic changes in patients of acute organophosphate poisoning at tertiary care hospital Larkana, Pakistan
Journal Title: Nepalese Heart Journal - Year 2017, Vol 14, Issue 2
Abstract
Background and Aims : The organophosphate (OP) poisoning is one of the important preventable public health problems in developing countries. It is estimated that OP pesticide self-poisoning kills around 200,000 people every year. The aim of the study was to determine the frequency of electrocardiographic (ECG) changes in acute OP poisoning at tertiary care hospital Larkana, Pakistan. Methods: It was an observational retrospective study of the patients who were diagnosed with acute OP poisoning during the period of four years January 2012 to December 2015 at medical emergency department, Shaheed Mohtarma Benzir Bhutto Medical University Hospital Larkana, Pakistan. A sample of 223 patients between 16-45 years with definite history of OP ingestion, were included in study. Patients with the history of cardiac disease, diabetes mellitus, hypertension, chronic renal failure & disturbed electrolytes were excluded. Results: Mean age was 29.61 ± 8.656 years with range of 16-45 years. Duration of OP ingestion ranged from 30 to 300 minutes with mean of 167.53 ± 45.26 minutes. Sixty five percent patients were in their 3rd and 4th decades of life. Males were 122 (54.71%) while 101 (45.29%) were females. ECG changes found in 145 (65.02%) with tachycardia and bradycardia was 85 (38.1%) and 60 (26.9%) respectively. The ST elevation was noted in 59 (26.5%), depression in 50 (22.4%), T wave changes observed in 51 (22.9%) patients. QTc interval was prolonged in 129 (57.85%). Conclusion: TECG changes are frequent in OP patients. QTc interval followed by sinus arrhythmias were most common changes observed. ECG should be done in all the patients who present with OP poisoning.
Authors and Affiliations
Munawar Hussain Soomro| Sorbonne Universités, UPMC Univ Paris 06, INSERM, Pierre Louis Institute of Epidemiology and Public Health (IPLESP UMRS 1136), Epidemiology of Allergic and Respiratory Diseases Department (EPAR), Saint-Antoine Medical School, 75012 Paris, France, Mansoor Magsi| Department of Medicine, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan, Rahim Baig| Department of Neurosurgery, King Fahd Central Hospital, Jazan, Saudi Arabia, Mohammad Aslam Soomro| Department of Medicine, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan
Keywords
Related Articles
- EP ID EP15784
- DOI http://dx.doi.org/10.3126/njh.v14i2.18495
- Views 375
- Downloads 18
Echocardiographic fndings in children with Tetralogy of Fallot
Background and Aims: Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease in children. The aim of this study was to identify various cardiac defects associated with TOF by transthoracic echoca...
Ebstein’s Anomaly: Anesthetic Management at shahid Gangalal National Heart Centre
During the last eight years, 34% of the cases have been congenital; out of which only 0.7% have been Ebstein’s Anomaly. In the literature they have mentioned that the male and female ratio is 1:1, but there are more fe...
Atrial fbrillation following electric shock requiring cardioversion
Cardiac arrhythmias following electrical injury falls in a minority. Atrial arrhythmias including atrial fbrillation secondary to electrical shock are even more uncommon. This is a case report of AF requiring pharmacol...
Prosthetic valve thrombosis in a tertiary cardiac centre
Background and Aims: Prosthetic valve thrombosis remains a major complication of valve replacement surgeries in Nepal. A number of patients present with thrombotic complications mainly due to poor anticoagulation status...
Outcome of pregnancies in women with prosthetic mechanical heart valves
Background and Aims: Rheumatic heart disease is still prevalent in Nepal. Many young women had to undergo cardiac surgery before or at their childbearing age. Due to teratogenic effect and maternal risk, pregnancy is g...