Acute Myocardial Infarction with Normal Coronary Angiography after Butane Inhalation

Çorbacıoğlu, Şeref Kerem; Akkuş, Şaban; Çevik, Yunsur; Emektar, Emine; Kember, İbrahim; Sarıaydın, Tuba

doi:10.5152/jaemcr.2015.778

Cited by 5 publications

(1 citation statement)

References 5 publications

(10 reference statements)

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“…Majority of the patients will die due to unwitnessed arrest [7] and delaying the appropriate resuscitation which has shown bad prognosis [6]. Early recognition and supportive treatment can make better outcome [5, 8].…”

Section: Introductionmentioning

confidence: 99%

Cardiac Arrest due to Butane Gas Inhalation in an 18 Years Old Boy

Alrabiah

AlShamrani

Al-Mass

2019

Case Reports in Emergency Medicine

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An 18-year-old male smoker inhaled butane gas out of a pocket lighter with his friend for the purpose of changing his voice. He suddenly collapsed and lost his consciousness. Upon arrival to the Emergency Department, he was found pulseless with a rhythm of ventricular fibrillation. Cardiopulmonary resuscitation (CPR) was initiated according to the advanced cardiac life support (ACLS) protocol for three cycles until return of spontaneous circulation archived. After extubation, the patient was ataxic and had significant memory loss and severe confusion. Days later he improved and was discharged with walking aid for his ataxia and a plan to followup with the neurology team for magnetic resonance imaging (MRI) of the brain and electroencephalogram (EEG) as an outpatient.

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Section: Introductionmentioning

confidence: 99%

Cardiac Arrest due to Butane Gas Inhalation in an 18 Years Old Boy

Alrabiah

AlShamrani

Al-Mass

2019

Case Reports in Emergency Medicine

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Butane-induced acute global myocardial ischemia without coronary artery pathology

Grigorov

et al. 2020

Oxford Medical Case Reports

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The case report describes a case of acute myocardial ischemia precipitated by propane butane inhalation. The dependency of this substance around the world is still moderate but is increasing due to the easy availability of the substance and the facility with which the effects can be concealed. The toxicity of the substance is significant; affecting the heart, the brain and the liver. The most common outcome is sudden death. In this article, we describe a survivor after an episode of acute poisoning and his interesting cardiac pathology.

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Postmortem Diagnosis of Myocardial Infarction Due to Butane Gas Intoxication in a Child

Buğra

Daş²

2019

Am J Forensic Med Pathol

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Volatile substance addiction and toxic gas inhalation are now an important health problem. The pleasure-based inhalation of butane gas, also known as lighter refill gas, is especially prevalent among children and young people. The most important reasons for this situation are that they are cheap and easy to obtain and lack of legal supervision. The exhaled gas is absorbed through the alveolar surface and rapidly enters the bloodstream and leads to clinical signs. It can cause dizziness, nausea, vomiting, confusion, hallucinations, and euphoria in the acute phase. In severe cases, bronchospasm, hypoxia, ventricular arrhythmia, cardiopulmonary arrest, and death can occur. Our case is one of the rare cases in the literature that was diagnosed by postmortem histopathological examination. Our case is a 15-year-old girl who was found in front of a tobacco product store. On gross examination, there was a hemorrhagic area under the aortic valve that continued to interventricular septum. There was no coronary artery lesion. Histopathological examination revealed hypereosinophilia and contraction band necrosis in myocardial fibers, which was more intense in papillary muscle. Immunohistochemical studies also supported early myocardial ischemic changes. Upon toxicological examination, butane gas was detected in lung and blood samples.

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Acute Myocardial Infarction with Normal Coronary Angiography after Butane Inhalation

Cited by 5 publications

References 5 publications

Cardiac Arrest due to Butane Gas Inhalation in an 18 Years Old Boy

Cardiac Arrest due to Butane Gas Inhalation in an 18 Years Old Boy

Butane-induced acute global myocardial ischemia without coronary artery pathology

Postmortem Diagnosis of Myocardial Infarction Due to Butane Gas Intoxication in a Child

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