The Journal of the Association of Physicians of India
-
This study covers a small subset of patients who presented as stroke without any signs and symptoms of acute myocardial infarction (MI). 0.5% of patients sustained acute stroke in acute MI and 1.6% of total MI presented as stroke. 22% of "stroke complicating MI" presented as stroke at the time of admission. This study is presented mainly to highlight the rare presentation of MI, importance of taking an urgent EKG in all cases of acute stroke and the treatment of acute MI is different from that of stroke.
-
J Assoc Physicians India · Jul 1998
Cardiac arrhythmias in aluminium phosphide poisoning studied by on continuous holter and cardioscopic monitoring.
Variable incidences of cardiac arrhythmias (based on isolated 12 lead ECG records) have been reported in patients of aluminium phosphide (ALP) poisoning. We did continuous holter and cardioscopic monitoring in ICU in 30 patients of acute ALP poisoning. Supraventricular and ventricular ectopics were recorded in each and every patient. ⋯ ST-T changes simulating myocardial ischaemia were also present in all patients (S-T depression in 90%, S-T elevation in 10%). One-third of the patients developed variable degrees of heart block, IV amiodarone/xylocard could revert dangerous ventricular arrhythmias to sinus rhythm in 4 cases. Toxic myocarditis produced by phosphine seems to be responsible for the development of these arrhythmias.