AlP poisoning has elevated mortality rates because of cardiovascular involvement. Patient survival can be increased by prompt supportive care. In this study, we evaluated a case of aluminium phosphide intentional poisoning in an adult patient. The patient had toxic myocarditis and developed ST elevation on ECG during hospital course, raised troponins and global hypokinesia on echocardiogram. The patient was managed by trimetazidine, intravenous magnesium sulphate, n-acetylcysteine and inotropes.  Follow-up echocardiogram, three months later was normal.

Keywords: Pesticide, Aluminium phosphide, Cardiotoxicity.

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Anoop

Department of Medicine; Dr Rajendra Prasad Government Medical College, Kangra, Himachal Pradesh, India