Important tools don't forget in acute cardiotoxicity management

This study showed that:¿ The majority of the studied patients (94%) survived and (6%) of the patients died. ¿ ECG test sensitivity was 100%, specificity was 46.8%, PPV of ECG was 10.7% and NPV was 100%.¿ MAS score, GCS score, and serum cTnI were very highly significantly increased with death hence could be used as predictors for the mortality.¿ Serum CK-MB couldn¿t be used as an outcome predictor.¿ Serum cTnI>1.0ng/ml had sensitivity 100% and specificity 89.4% and NPV 100% with excellent diagnostic characteristic (accuracy rate 96.4%).¿ GCS at cut off 10 had corresponding sensitivity 100% and specificity 74.5% and NPV 100% with excellent diagnostic characteristic (accuracy rate 90.8%). ¿ Performing an ECG for every patient with acute poisoning help in early recognizing the possible cardio-toxicity by simple and non-invasive tool.¿ The protocol of management will be the same in acute toxicity by cardiac drugs and non-cardiac toxins.