Jolly G, Dacosta Davis S, Ali S, Bitterman L, Saunders A, Kazbour H, Parwani P. Cardiac involvement in hydrocarbon inhalant toxicity — role of cardiac magnetic resonance imaging: A case report. World J Cardiol 2021; 13(10): 593-598 [PMID: 34754404 DOI: 10.4330/wjc.v13.i10.593]
Corresponding Author of This Article
Purvi Parwani, MD, Assistant Professor, Division of Cardiology, Loma Linda University Medical Center, 11234 Anderson St, Loma Linda, CA 92354, United States. pparwani@llu.edu
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Oct 26, 2021; 13(10): 593-598 Published online Oct 26, 2021. doi: 10.4330/wjc.v13.i10.593
Cardiac involvement in hydrocarbon inhalant toxicity — role of cardiac magnetic resonance imaging: A case report
George Jolly, Shevel Dacosta Davis, Saif Ali, Lauren Bitterman, Ashley Saunders, Hana Kazbour, Purvi Parwani
George Jolly, Saif Ali, Purvi Parwani, Division of Cardiology, Loma Linda University Medical Center, Loma Linda, CA 92354, United States
Shevel Dacosta Davis, Lauren Bitterman, Ashley Saunders, Hana Kazbour, Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, CA 92354, United States
Author contributions: Jolly G provided references for and wrote the majority of the introduction, discussion and conclusion sections; Dacosta Davis S, Bitterman L and Saunders A wrote the majority of the case presentation, acquired necessary documentation for submission and completed final formatting of submission documents; Kazbour H supervised the primary medicine team involved in patient care; Kazbour H and Ali S contributed towards revising the manuscript critically for important intellectual content; Parwani P handled supervision, made substantial contribution to the conception of the paper, drafted the first manuscript, provided critical edits to the final manuscript in addition to providing the CMRI imaging, and is the senior and corresponding author of the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare no potential financial interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Purvi Parwani, MD, Assistant Professor, Division of Cardiology, Loma Linda University Medical Center, 11234 Anderson St, Loma Linda, CA 92354, United States. pparwani@llu.edu
Received: January 24, 2021 Peer-review started: January 24, 2021 First decision: February 28, 2021 Revised: March 7, 2021 Accepted: September 17, 2021 Article in press: September 17, 2021 Published online: October 26, 2021
Abstract
BACKGROUND
We report a patient who was diagnosed with toxic myopericarditis secondary to hydrocarbon abuse using cardiac magnetic resonance imaging (CMR).
CASE SUMMARY
A 25-year-old male presented to emergency department with chest pain for 3 d. Patient also reported sniffing hydrocarbon containing inhalant for the last 1 year. Labs showed elevated troponin and electrocardiography was suggestive of acute pericarditis. Echocardiogram showed left ventricular (LV) ejection fraction (EF) of 40%. Given patient’s troponin elevation and reduced EF, cardiac catheterization was performed which showed normal coronaries. CMR was performed for myocardial infarction with non-obstructive coronary arteries evaluation. CMR showed borderline LV function with edema in mid and apical LV suggestive of myocarditis.
CONCLUSION
CMR can be used to diagnose toxic myopericarditis secondary to hydrocarbon abuse.
Core Tip: Inhalant abuse has been rampant in the United States population in the last 2 decades. Cardiac manifestations of hydrocarbon inhalant abuse are not well reported. We report a case of myopericarditis in a patient with inhalant abuse. We also describe the role of Cardiac Magnetic Resonance Imaging in diagnosis and treatment of these patients.
