Evidence map›Paper›PMID 33939296›Full record

ArticleESC heart failure2021

Inhalation of publicly available indoor insecticide spray caused myocardial infarction type II: a case report.

Dirk Habedank, Beate Stubbe, Ralf Ewert, Alexandra Kroll, Iskandar Atmowihardjo, Birgit Habedank

Open access · goldAbstract readCase Reports
In one paragraph

Article in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Dirk HabedankClinical Medicine Department of Cardiology, DRK Kliniken Berlin Köpenick, Berlin, Germany.
Beate StubbeClinical Medicine Department of Pneumology, University Medicine Greifswald, Greifswald, Germany.
Ralf EwertClinical Medicine Department of Pneumology, University Medicine Greifswald, Greifswald, Germany.
Alexandra KrollClinical Medicine Department of Cardiology, DRK Kliniken Berlin Köpenick, Berlin, Germany.
Iskandar AtmowihardjoClinical Medicine Department of Cardiology, DRK Kliniken Berlin Köpenick, Berlin, Germany.
Birgit HabedankSection Health Pests and their Control, German Environment Agency, Berlin, Germany.
DRK Kliniken Berlin · DEUniversitätsmedizin Greifswald · DEGerman Environment Agency · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on a 70-year-old woman who tried to eliminate ants from her kitchen by applying a publicly available insecticide spray. Immediately afterwards, she felt dyspnoea, superseded by heavy chest pain. High-sensitivity troponin concentration increased from 33 to 149 ng/L (cut-off 50 ng/L). Significant coronary stenosis was excluded by coronary angiography, and the myocardial damage was classified as myocardial infarction type II. After exclusion of other potential mechanisms, we consider a cardiotoxic effect of the insecticide mixture of cypermethrin, tetramethrin, and piperonyl butoxide possible. We conclude that consumer information has to be improved. This concerns sustainable control measures adapted to the target insect species (in this case, the black garden ant Lasius niger), and differentiation between authorized and non-authorized but notified products. The instructions for use should give clear information on vulnerable groups and recommend personal protective equipment. Physicians and authorities should be alert to cardiac side-effects of insecticides.

Indexed as

InsecticidesMyocardial InfarctionAgedFemaleHumansPiperonyl ButoxideInsecticidesPiperonyl ButoxideCypermethrinInsecticide sprayMyocardial infarction type IINon-professional usePiperonyl butoxideTetramethrin

Identifiers

PMID33939296
PMCPMC8318464
OpenAlexW3157157178

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.