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Cardiotoxicity of Aluminum Phosphide Poisoning; Tropinin and CKmb as Early Biomarkers

Conditions
Cardiotoxicity
Aluminum Phosphid Poisoning
Registration Number
NCT04191265
Lead Sponsor
Assiut University
Brief Summary

Aluminum phosphide (AlP) or rice tablet is a cheap pesticide. When it comes in contact with acid (gastric acid) or moisture, it releases phosphine (PH3) gas. The heart,lungs, liver are the main targets in acute Aluminum phosphide (AlP) poisoning. Most deaths occur due to cardiovascular toxicity.

Detailed Description

Aluminium phosphide is a potent respiratory chain enzyme inhibitor. Its most important effect is the inhibition of cytochrome c oxidase. The inhibition of cytochrome c oxidase and other enzymes leads to the generation of superoxide radicals and cellular peroxides , and subsequent cellular injury through lipid peroxidation and other oxidant mechanisms. It stimulates the production of hydrogen peroxide and reactive oxygen species, malonyldialdehyde (MAD), increases superoxide dismutase and inhibits catalase, peroxidase and glutathione . Oxidative stress is one of the main mechanisms of action of aluminium phosphide toxicity

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria

ALP poisoned cases

  • admitted with free ECG
Exclusion Criteria

concomitant ingesion of other drugs or toxins

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
assess serum tropinin and CKmb as biomarkers for early detection of ALP induced myocardial injury6 months

assess serum tropinin and CKmb as biomarkers for early detection of ALP induced myocardial injury

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Doaa

🇪🇬

Assiut, Egypt

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