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Electrocardiographic features of Korean carbon disulfide poisoned subjects after discontinuation of exposure
Authors:Hyung-Joon Jhun  Sung-Il Cho  Mi-Jung Kim  Jidong Sung
Affiliation:(1) Department of Occupational and Environmental Medicine, Hangang Sacred Heart Hospital, Hallym University, Seoul, Republic of Korea;(2) Department of Epidemiology, School of Public Health, Seoul National University, Seoul, Republic of Korea;(3) Department of Family Medicine, Wonjin Green Hospital, Kuri, Republic of Korea;(4) Division of Cardiology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong Kangnam-ku, 135-710 Seoul, Republic of Korea
Abstract:Objective Mass poisoning by carbon disulfide (CS2) was reported at a viscose rayon factory in Korea in the late 1980s; the factory was subsequently closed in 1993. In this study, we evaluated the late electrocardiographic features in the CS2 poisoned subjects. Methods The cases were composed of 198 retired workers with a history of CS2 poisoning. An age- and sex-matched reference group was randomly selected from people visiting a hospital for regular health checkups. Intervals, amplitudes and abnormal findings from the electrocardiograms (ECGs) of the two groups were compared. Results Except for the PQ interval, there were no significant ECG differences between the two groups. The cases exhibited ECG abnormalities more frequently than the reference group. Multiple logistic regression analysis revealed that CS2 poisoning was positively associated with the presence of abnormal ECG findings (OR = 1.603; 95% CI, 1.008–2.549). Conclusion This study suggests that CS2 poisoned subjects may have an increased risk of ECG abnormalities even after the exposure to CS2 is no longer present.
Keywords:Carbon disulfide  Electrocardiogram
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