Acute myocardial infarction and renal failure following naphtha ingestion

• Published in: The Journal of emergency medicine Vol. 21; no. 3; pp. 243 - 247
• Main Authors: Roberge, Raymond J, Crippen, David R, Jayadevappa, Dinesh, Kosek, Tonia L
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.10.2001; Elsevier
• Subjects: Alkanes - poisoning; Biological and medical sciences; Chemical and industrial products toxicology. Toxic occupational diseases; Electrocardiography; Humans; ingestion; Male; Medical sciences; Middle Aged; myocardial infarction; Myocardial Infarction - chemically induced; naphtha; renal failure; Renal Insufficiency - chemically induced; Toxicology; Various organic compounds; renal failure; naphtha; ingestion; myocardial infarction; Human; Kidney disease; Urinary system disease; Hydrocarbon; Infarct; Naphtha; Cardiovascular disease; Male; Coronary heart disease; Myocardial disease; Petroleum; Ingestion; Case study; Concomitant disease; Toxicology; Renal failure; Myocardium; Adult; Complication; Poisoning
• ISSN: 0736-4679; 2352-5029
• DOI: 10.1016/S0736-4679(01)00378-X

We present a case of a non-Q wave myocardial infarction and acute renal failure following an ingestion of naphtha, a petroleum distillate composed primarily of hydrocarbons. The patient’s renal, metabolic, and cardiac status improved over several days with aggressive volume replacement and bicarbonate therapy. Acute cardiotoxic effects of hydrocarbon exposure generally manifest as dysrhythmias, secondary to myocardial sensitization to circulating catecholamines, or, possibly, coronary vasospasm. Ischemia from associated hypotension or direct myocardial toxicity are other potential causes of naphtha-related cardiac injury.