Rare Inferior Myocardial Infarction Triggered by Carbon Monoxide Poisoning

Year 2022, Volume: 4 Issue: 1, 32 - 34, 30.04.2022

Yeşim İşler

https://doi.org/10.51262/ejtox.1090040

Abstract

Abstract
Carbon monoxide (CO) poisoning is one of the most common causes of death due to poisoning in the world. Cardiovascular complications of CO poisoning includes myocardial infarction, left ventricular dysfunction, cardiogenic shock, and various arrhythmias. Carboxyhemoglobin (COHb) levels do not always correlate with severity of symptoms. In this article, We present a patient who developed a rare ST elevated acute myocardial infarction triggered by CO poisoning and was treated with coronary angiography.

Keywords

ST elevation, CO poisoning, inferior myocardial infarction, ST elevation

Karbonmonoksit Zehirlenmesiyle Tetiklenen Nadir Görülen İnferior Miyokard Enfarktüsü

Abstract

Karbonmonoksit (CO) zehirlenmesi sık karşılaşılan dünyada zehirlenmeye bağlı ölümlerin en yaygın sebeplerindendir. CO zehirlenmesinin kardiyovasküler komplikasyonları miyokard enfarktüsü, sol ventrikül disfonksiyonu, kardiyojenik şok ve çeşitli aritmileri içerir. Semptomların şiddeti ile karboksihemoglobin (COHb) seviyeleri her zaman korele değildir. Bu yazıda, CO zehirlenmesinin tetiklediği ST elevasyonlu akut miyokart enfarktüsü gelişen ve koroner anjiografi ile tedavi edilen bir hastayı sunuyoruz.

Keywords

CO intoksikasyonu, ST elevasyonu, inferior miyokard enfarktüsü

References

• Reumuth G, Alharbi Z, Siamak K, Kim B, Siemers F, Christian P, et al. ScienceDirect Carbon monoxide intoxication: What we know. Burns 2018;6-10.
• Jankowska D, Palabindala V, Salim SA. Non-ST elevation myocardial infarction secondary to carbon monoxide intoxication. Journal of Community Hospital Internal Medicine Perspectives 2017;7(2):130-3. Shih-Hung Tsai MD, Shi-Jye Chu MD, Chin-Wang Hsu MD, Shu-Meng Cheng MD, Shih-Ping Yang MD. Use and and interpretation of cardiac troponins in the ED. Am J Emerg Med 2008;26;331–41.
• Metin S, Yıldız Ş, Çakmak T. Demirbaş, Ş. The role of oxygen therapies in carbon monoxide poisoning. TAF Prev MedBull 2011;10:487–94.
• Peers C, Steele DS. Carbonmonoxide: a vital signalling molecule and potent toxin in the myocardium. J Mol Cell Cardiol 2012; 52: 359-65.
• Satran D, Henry CR, Adkinson C, Nicholson CI, Bracha Y, Henry TD. Cardiovascular manifestations of moderate to severe carbon monoxide poisoning. J Am Coll Cardiol. 2005;45(9):1513-16. Dziewierz A, Ciszowski K, Gawlikowski T, Rakowski T, Kleczyński P, Surdacki A, et al. Primary Angioplasty in Patient with St-Segment Elevation Myocardial Infarction in the Setting of Intentional Carbon Monoxide Poisoning. J Emerg Med 2013; 45: 831-4.
• Kim S, Lim JH, Kim Y, Oh S, Choi WG. A case of acute carbon monoxide poisoning resulting in an ST elevation myocardial infarction. Korean circulation journal 2012; 42: 133-5.
• Lippi G, Rastelli G, Meschi T, Borghi L, Cervellin G. Pathophysiology, clinics, diagnosis and treatment of heart involvement in carbonmonoxide poisoning. Clin Biochem 2012; 45: 1278-85.
• Altay S, Bozbay M, Dedemoğlu M, Ayhan E, Eren M, Çakmak HA. Acute myocardial infarction following carbon monoxide poisoning. Cerrahpasa J Med 2009; 40: 144-7.
• Çelik T, Kurşaklıoğlu H, İyisoy A, Demirkol S, Yüksel Ç, Işık E. Acute myocardial infarction after carbon monoxide poisoning. Gulhane Med J 2005; 47: 67-6.
• Van Meter KW. Carbon monoxide poisoning. In: Tintinalli JE, Kelen GD, Stapczynski JS editörs. Emergency Medicine: A Comprehensive Study Guide. 6th Edn. New York: McGraw-Hill; p.1238-42.
• Drinhaus H, Nüsgen S, Hinkelbein J. Guidelines desirable for treatment of carbon monoxide poisoning. Anaesthesist. 2016;65(4):301-2.