Inhalation of publicly available indoor insecticide spray caused myocardial infarction type II: a case report.
Cypermethrin
Insecticide spray
Myocardial infarction type II
Non-professional use
Piperonyl butoxide
Tetramethrin
Journal
ESC heart failure
ISSN: 2055-5822
Titre abrégé: ESC Heart Fail
Pays: England
ID NLM: 101669191
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
revised:
03
04
2021
received:
29
12
2020
accepted:
13
04
2021
pubmed:
4
5
2021
medline:
29
10
2021
entrez:
3
5
2021
Statut:
ppublish
Résumé
We report on a 70-year-old woman who tried to eliminate ants from her kitchen by applying a publicly available insecticide spray. Immediately afterwards, she felt dyspnoea, superseded by heavy chest pain. High-sensitivity troponin concentration increased from 33 to 149 ng/L (cut-off 50 ng/L). Significant coronary stenosis was excluded by coronary angiography, and the myocardial damage was classified as myocardial infarction type II. After exclusion of other potential mechanisms, we consider a cardiotoxic effect of the insecticide mixture of cypermethrin, tetramethrin, and piperonyl butoxide possible. We conclude that consumer information has to be improved. This concerns sustainable control measures adapted to the target insect species (in this case, the black garden ant Lasius niger), and differentiation between authorized and non-authorized but notified products. The instructions for use should give clear information on vulnerable groups and recommend personal protective equipment. Physicians and authorities should be alert to cardiac side-effects of insecticides.
Identifiants
pubmed: 33939296
doi: 10.1002/ehf2.13389
pmc: PMC8318464
doi:
Substances chimiques
Insecticides
0
Piperonyl Butoxide
LWK91TU9AH
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
3403-3407Informations de copyright
© 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology.
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