Bütan İnhalasyonu Sonrası Gelişen Normal Koroner Anjiografili Akut Myokard İnfarktüsü

Abstract

Giriş: Çakmak gazı olarakta bilinen bütan gazı genellikle gençler arasında keyif yapıcı bir madde olarak kullanılmaktadır. Bu gazlar eğlence ve keyif alma amaçlı soluma veya koklama yoluyla kullanıldığında akut myokard infarktüsü (MI), ventriküler fibrilasyon veya ani ölüm gibi ciddi kardiyak yan etkilere neden olabilmektedir. Olgu Sunumu: 19 yaşında erkek hasta 112 tarafından çakmak gazı koklama sonrasında kardiyak arrest olarak acil servise getirildi. Başarılı bir resüsitasyon sonrası çekilen elektrokardiyografisinde yüksek lateral MI tanısı alan hastanın yapılan koroner anjiyografisinde normal koroner damarlar saptandı. Bizim vakamız bütan gazı inhalasyonu sonrası MI tanısı alan ve koroner anjiyografisi yapılabilen nadir vakalardan birisidir. Sonuç: Bütan gazı inhalasyonu ST segment elevasyonlu MI nedeni olabilmektedir. Bu bütan gazı ilişkili MI nedeni ise mekanik obstrüksiyondan daha çok koroner vazospazma bağlıdır

Keywords

• Bütan gaz, vazospasm, myokard infarktüsü, anjiyografi

Acute Myocardial Infarction with Normal Coronary Angiography after Butane Inhalation

Abstract

Introduction: Butane gas, which is known lighter gas, is used especially by teenagers and young people with the aim of getting “high.” When these gases are inhaled or sniffed for recreational purposes, they can lead to acute cardiac events such as acute myocardial infarction (MI), ventricular fibrillation, or sudden death.Case Report: A 19-year-old male patient with cardiopulmonary arrest after sniffing lighter gas was brought to our emergency department by the 112 emergency ambulance services. He was diagnosed with high-lateral MI based on ST elevation in the electrocardiogram after successful resuscitation. However, his epicardial coronary arteries were normal based on coronary angiography. Our patient is one of rare cases who was diagnosed MI after butane inhalation and could perform emergency cardiac catheterization. Our patient underwent emergency cardiac catheterization.Conclusion: Butane gas inhalation can cause ST-elevation MI. MI due to butane gas inhalation is caused not by mechanical obstruction but by coronary vasospasm

Keywords

• Butane gas, vasospasm, myocardial infarction, angiography

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