@article{ref1,
title="Refractory cardiogenic shock caused by zinc phosphide toxicity",
journal="Proceedings: Baylor University Medical Center",
year="2023",
author="Mittal, Nitish and Elmassry, Mohamed and Abohelwa, Mostafa",
volume="36",
number="2",
pages="224-225",
abstract="Zinc phosphide toxicity is a rare entity that presents most frequently among farmers in developing countries who use it as a rodenticide. The phosphine gas released after the ingestion inhibits cytochrome c oxidase, disrupting the mitochondrial physiology and oxidative phosphorylation and causing myocardial stunning. Here we present a case of a 20-year-old man who attempted suicide with zinc phosphide toxicity. Initially, he was hemodynamically stable with a normal ejection fraction; however, in a few hours, he deteriorated quickly and became hemodynamically unstable, with rapid deterioration of his ejection fraction to 20%. He was started on norepinephrine and then dobutamine; however, he had cardiac arrest from refractory cardiogenic shock despite resuscitative measures.<p /> <p>Language: en</p>",
language="en",
issn="0899-8280",
doi="10.1080/08998280.2022.2136920",
url="http://dx.doi.org/10.1080/08998280.2022.2136920"
}