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تاثير تجويز ان استيل سيستين در مسموميت با فسفيد آلومينيوم(قرص برنج) منجر به سميت قلبي:يك مطالعه مورد شاهدي

تقدسی نژاد, فخرالدین ، فرزانه, اسماعیل ، مهدی, غضنفری نصرآبادی ، ایزدی مود, نسترن ، حاجی حسینی, مرتضی ، مهرپور, امید (1395) تاثير تجويز ان استيل سيستين در مسموميت با فسفيد آلومينيوم(قرص برنج) منجر به سميت قلبي:يك مطالعه مورد شاهدي. Springerplus ــ 5 . ص.ص.1948-1952. شاپا 2193-1801

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عنوان انگليسی

The effect of N-acetyl cysteine (NAC) on aluminum phosphide poisoning inducing cardiovascular toxicity: a case–control study

خلاصه انگلیسی

Background Aluminum phosphide (AlP) is a very effective indoor and outdoor pesticide. We investigated the effects of N-acetyl cysteine (NAC) on the survival time, hemodynamics, and cardiac biochemical parameters at various time intervals in some cases of AlP poisoning. Methods This research was a case–control study to evaluate 63 AlP poisoned patients during 2010–2012. Patients with cardiovascular complications of AlP to be treated with intravenous NAC plus conventional treatment were considered as the case group and compared with patients who did not receive NAC. NAC infusion was administered to the case group at 300 mg/kg for 20 h. The data gathered included age, sex, heart rate, Systolic blood pressure (SBP), creatine phosphokinase (CPK), creatine kinase MB (CK-MB), and ECG at the admission time and 12, 18, and 24 h after admission. Analysis of repeated measures was performed to check the variability of parameters over time. Results The mean ages in the case and control groups were 26.65 ± 1.06 (19–37 years) and 28.39 ± 1.11 (18–37 years), respectively (P = 0.266). Most of the patients were female (56.5%). CK-MB means were significantly different between the two groups, but no differences between the other variables were observed. Also, CK-MB, CPK, heart rate, and systolic blood pressure means became significantly different over time (0, 12, 18, and 24 h) in both groups (P < 0.001). NAC prevented sharp heart rate fluctuations in AlP patients in the case group. Regarding the outcomes, 17 patients died (10 patients in the control and 7 patients in the case groups). No side-effects of NAC were observed. Conclusion Our patients could be managed by the positive role of NAC as the biochemical index of cardiotoxicity was found to elevate in both the case and control groups. Therefore, for the management protocol optimization, NAC evaluation should be done in further cases.

نوع سند :مقاله
زبان سند : انگلیسی
نویسنده اول :فخرالدین تقدسی نژاد
نویسنده :اسماعیل فرزانه
نویسنده مسئول :امید مهرپور
ضریب تاثیر و نمایه مجلات:Impact Factor (2015) 0.982 Indexed in: ISI, Pubmed, Scopus, Biological Abstracts, BIOSIS,
کلیدواژه ها (انگلیسی):Aluminum phosphide, N-acetyl cysteine, Pesticide, Rice tablet
موضوعات :QV فارماکولوژی
بخش های دانشگاهی :دانشكده پزشكي > گروه داخلی ، قلب ، عفونی
کد شناسایی :8088
ارائه شده توسط : دکتر فیروز امانی
ارائه شده در تاریخ :01 آذر 1395 05:53
آخرین تغییر :21 بهمن 1399 11:12

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