Piperonylbutoxide as a Dubious Cause of Cardiac Manifestations in Pyrethroid Insecticide Poisoning, a Letter to Editor

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Faress Foroozan; AMERI MARYAM; VASHEGHANI FARAHANI MARYAM; MARASHI SAYED MAHDI

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Journal: Archives of Academic Emergency Medicine Year:621 | Volume: | Issue: Page(s): 0-0

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Title

Piperonylbutoxide as a Dubious Cause of Cardiac Manifestations in Pyrethroid Insecticide Poisoning, a Letter to Editor

Author(s)

Faress Foroozan | AMERI MARYAM | VASHEGHANI FARAHANI MARYAM | MARASHI SAYED MAHDI | Issue Writer Certificate

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Abstract

Dear Editor,Some of the articles on cypermethrin poisoning manifesting with cardiac problems, published in 2020 and 2021, have attracted our attention (1, 2). In one of these papers, a 70-year-old female was presented with acute exposure to insecticide spray containing cypermethrin, tetramethrin and piperonylbutoxide, showing dyspnea as well as considerable chest pain. Based upon the preliminary evaluation of the patient, high-sensitivity troponin T increased within an hour,however, coronary artery disease was ruled out on coronary angiography. Hence, non-ST elevation myocardial infarction due to direct cardiotoxicity of cypermethrin was proposed as the reason (1). Another paper presented an eighteen-year-old male with acute cypermethrin poisoning showing bradycardia at a range of 45-54 bpm and some premature ventricular complexes. The only medication prescribed, was atropine sulphate. After 48 hours of admission his heart rate steadily normalized (2). In discussion of each paper, the authors cite some reports of different types of heart block in the field of pyrethroid exposure, as well as positive association between urinary pyrethroid metabolites and cardiovascular involvement (3-5)....

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References

Inhalation of publicly available indoor insecticide spray caused myocardial infarction type II: a case report

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APA: Copy

Faress, Foroozan, AMERI, MARYAM, VASHEGHANI FARAHANI, MARYAM, & MARASHI, SAYED MAHDI. (2023). Piperonylbutoxide as a Dubious Cause of Cardiac Manifestations in Pyrethroid Insecticide Poisoning, a Letter to Editor. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 11(1), 0-0. SID. https://sid.ir/paper/1114980/en

Vancouver: Copy

Faress Foroozan, AMERI MARYAM, VASHEGHANI FARAHANI MARYAM, MARASHI SAYED MAHDI. Piperonylbutoxide as a Dubious Cause of Cardiac Manifestations in Pyrethroid Insecticide Poisoning, a Letter to Editor. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2023;11(1):0-0. Available from: https://sid.ir/paper/1114980/en

IEEE: Copy

Foroozan Faress, MARYAM AMERI, MARYAM VASHEGHANI FARAHANI, and SAYED MAHDI MARASHI, “Piperonylbutoxide as a Dubious Cause of Cardiac Manifestations in Pyrethroid Insecticide Poisoning, a Letter to Editor,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 11, no. 1, pp. 0–0, 2023, [Online]. Available: https://sid.ir/paper/1114980/en

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