Cardiac involvement in hydrocarbon inhalant toxicity — role of cardiac magnetic resonance imaging: A case report

BACKGROUND: We report a patient who was diagnosed with toxic myopericarditis secondary to hydrocarbon abuse using cardiac magnetic resonance imaging (CMR). CASE SUMMARY: A 25-year-old male presented to emergency department with chest pain for 3 d. Patient also reported sniffing hydrocarbon containin...

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Detalles Bibliográficos
Autores principales: Jolly, George, Dacosta Davis, Shevel, Ali, Saif, Bitterman, Lauren, Saunders, Ashley, Kazbour, Hana, Parwani, Purvi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8554358/
https://www.ncbi.nlm.nih.gov/pubmed/34754404
http://dx.doi.org/10.4330/wjc.v13.i10.593
Descripción
Sumario:BACKGROUND: We report a patient who was diagnosed with toxic myopericarditis secondary to hydrocarbon abuse using cardiac magnetic resonance imaging (CMR). CASE SUMMARY: A 25-year-old male presented to emergency department with chest pain for 3 d. Patient also reported sniffing hydrocarbon containing inhalant for the last 1 year. Labs showed elevated troponin and electrocardiography was suggestive of acute pericarditis. Echocardiogram showed left ventricular (LV) ejection fraction (EF) of 40%. Given patient’s troponin elevation and reduced EF, cardiac catheterization was performed which showed normal coronaries. CMR was performed for myocardial infarction with non-obstructive coronary arteries evaluation. CMR showed borderline LV function with edema in mid and apical LV suggestive of myocarditis. CONCLUSION: CMR can be used to diagnose toxic myopericarditis secondary to hydrocarbon abuse.

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