ST-elevation in ethylene glycol toxicity mimicking myocardial infarction

Dibajnia, Pooya; Sivilotti, Marco L.A.; Juurlink, David N.; Shurrab, Mohammed

doi:10.1016/j.jelectrocard.2019.12.003

Cited by 6 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 4 Accidental ingestion of an antifreeze or refrigerant may cause EG poisoning, which initially damages the central nervous system and causes cardiopulmonary and renal dysfunction. 5 However, the onset and progression are often inconsistent and unpredictable with various clinical presentations, 6 such as ST‐segment elevation on electrocardiography 7 and pseudo‐hyperlactatemia, based on the evaluation method. 8 EG is oxidized in the liver by alcohol dehydrogenase to glycolaldehyde, which is converted to oxalic acid, glyoxylic acid, and glycolic acid.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Anion gap‐opening metabolic acidosis and urinary findings in the early diagnosis of ethylene glycol poisoning: A case report

Ukita

Otomune

Fujimoto

et al. 2022

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Red blood cell (×10 6 presentations, 6 such as ST-segment elevation on electrocardiography 7 and pseudo-hyperlactatemia, based on the evaluation method. 8 EG is oxidized in the liver by alcohol dehydrogenase to glycolaldehyde, which is converted to oxalic acid, glyoxylic acid, and glycolic acid.…”

Section: Peripheral Venous Bloodmentioning

confidence: 99%

Anion gap‐opening metabolic acidosis and urinary findings in the early diagnosis of ethylene glycol poisoning: A case report

Ukita

Otomune

Fujimoto

et al. 2022

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…The important point of the treatments of Ethylene Glycol ingestions was that the hemodialysis is to prevent irreversible kidney injury by limiting the ultimate metabolism of EG to oxalate [32]. The toxicity of E.G.was from the production of the acidic metabolites glycolate and oxalate [33]. The accuracy of the method used has been confirmed by the other studies [34][35][36][37].…”

Section: A = -Elumomentioning

confidence: 89%

The effective ethanol rate against the toxicity of ethylene glycol

Gökalp

2021

Turkish Computational and Theoretical Chemistry

View full text Add to dashboard Cite

Ethylene glycol (EG) is a toxic substance and EG metabolites cause metabolic acidosis. The major emphasis in this study is to get rid of the toxicity of EG before conversion to its metabolites. The interaction between ethylene glycol and ethanol has been studied using DFT (Density functional theory method). In ethylene glycol metabolites in the blood; Glycolic acid is more stable and gloxal less stable. The interaction of ethylene glycol with ethanol has been considered for ethylene glycol metabolism. Thermodynamic values obtained from ethylene glycol metabolites and ethanol were also analyzed. According to the analyst results of ethanol and ethylene glycol ratios; The maximum effective point is very stable in the blood and its solubility is determined at this rate. It is very important to determine the most appropriate rate in the prevention of toxicity. This study is an important study in terms of the use of ethanol in the prevention of toxicity of EG, the first of its rates and in terms of preventing the loss of time and substance.

show abstract

“…In a case presented by Dibajnia et al, the ECG findings at the time of initial evaluation were indicative of myocardial infarction as patients exhibited newly found STsegment elevation and T wave inversion. [95][96][97][98]…”

Section: Ethylene Glycol and Methanolmentioning

confidence: 99%

Electrocardiogram Features in Non-Cardiac Diseases: From Mechanisms to Practical Aspects

Ceasovschih,

Șorodoc,

Covantsev

et al. 2024

JMDH

View full text Add to dashboard Cite

Despite the noteworthy advancements and the introduction of new technologies in diagnostic tools for cardiovascular disorders, the electrocardiogram (ECG) remains a reliable, easily accessible, and affordable tool to use. In addition to its crucial role in cardiac emergencies, ECG can be considered a very useful ancillary tool for the diagnosis of many non-cardiac diseases as well. In this narrative review, we aimed to explore the potential contributions of ECG for the diagnosis of non-cardiac diseases such as stroke, migraine, pancreatitis, Kounis syndrome, hypothermia, esophageal disorders, pulmonary embolism, pulmonary diseases, electrolyte disturbances, anemia, coronavirus disease 2019, different intoxications and pregnancy.

show abstract

ST-elevation in ethylene glycol toxicity mimicking myocardial infarction

Cited by 6 publications

References 7 publications

Anion gap‐opening metabolic acidosis and urinary findings in the early diagnosis of ethylene glycol poisoning: A case report

Anion gap‐opening metabolic acidosis and urinary findings in the early diagnosis of ethylene glycol poisoning: A case report

The effective ethanol rate against the toxicity of ethylene glycol

Electrocardiogram Features in Non-Cardiac Diseases: From Mechanisms to Practical Aspects

Contact Info

Product

Resources

About