A number of toxin exposures can result in cardiovascular damage, both acute and chronic.
|
Toxin |
Complication |
|
antimony |
myocardial damage |
|
arsenic/arsine |
myocardial damage |
|
cadmium |
hypertension, CAD |
|
carbon dioxide |
|
|
carbon disulfide |
coronary artery disease (CAD) |
|
carbon monoxide |
coronary artery disease (CAD) |
|
cobalt |
myocardial damage |
|
fibrogenic dusts |
coronary artery disease (CAD) |
|
fluorocarbons |
cardiac arrhythmias |
|
hydrocarbons |
cardiac arrhythmias |
|
lead |
hypertension, CAD |
|
nitrates |
non-atheromatous ischemic heart disease |
|
yellow phosphorus |
myocardial damage |
after Table in Rosenman (1979)
Reasons to suspect:
(1) unprotected exposure
(2) early age or other atypical features for heart disease
(3) exclusion of other causes
Differential diagnosis – other causes of cardiovascular disease:
(1) viral infection
(2) smoking
(3) diabetes
(4) amyloid
(5) family history
Purpose: To identify possible toxin exposures that could explain heart disease in a worker.
Specialty: Sports Medicine & Rehabilitation
Objective: complications, public health
ICD-10: I00-I99, Y96, Y97,
