Ayyadurai_2018_J.Assoc.Physicians.India_66_88

We report a 22 year old male who was admitted to our hospital with alleged history of consumption of monocrotophos poison and had presented with chest pain. His electrocardiogram (ECG) had showed ST segment elevation myocardial infarction and troponins were elevated. He also had low cholinesterase levels and was treated with pralidoxime and atropine and his condition improved. Cardiac catheterization showed patent coronaries. Acute coronary syndrome is a rare manifestation of organophosphorus compound (OPC) poisoning. The current case and subsequent review of literature tells us the need for close cardiac monitoring of all patients with OPC poisoning.