Cardiac complications accompany poisoning with organophosphates are extremely common, these complications may be serious and are often fatal and include electrocardiographic abnormalities, conduction defects, cardiac arrhythmias, cardiac troponin T (cTnT) and myocardial enzyme elevation, and myocardial infarction and failure, a series of complications that is attracting substantial attention. The gene discussed is TNNT2; the disease is chronic obstructive pulmonary disease.