Karbonmonoksit Zehirlenmesine Bağlı ST Segment Elevasyonlu Miyokard Enfarktüsü

Abstract

Giriş: Karbon monoksit (CO) zehirlenmeleri sıklıkla nörolojik ve solunumsal semptomlarla seyreden yaygın olarak karşılaşılan ciddi zehirlenmelerdir. Ancak literatürde nadiren de olsa ciddi aritmiler, myokard enfarktüsü gibi zehirlenmeye bağlı mortal olabilecek kardiyak komplikasyonlar da bildirilmiştir. CO zehirlenmelerinde kardiyak değerlendirme ve takip mortalitenin azaltılması açısından oldukça önemlidir. Olgu Sunumu: Bu yazıda, özgeçmişinde özellik olmayan ve CO zehirlenmesi sebebiyle acil servise başvuran ve göğüs ağrısı olan 48 yaşındaki erkek hastada saptanan, CO zehirlenmesinin tetiklediğini düşündüğümüz ST segment elevasyonlu myokard infarktüsü (STEMI) vakası sunulmuştur. Sonuç: Karbon monoksit zehirlenmelerinde myokardiyal iskemi beklenen bir klinik bir durum olmakla birlikte STEMI nadir görülen bir durumdur. Genellikle karbon monoksit zehirlenmesine bağlı STEMI hastalarının anjiyografilerinde altta yatan bir koroner arter hastalığı saptansa da daha nadir durumlarda koroner anatomi tamamen normal olabilmektedir.

Keywords

• Karbonmonoksit, zehirlenme, myokard infarktüsü, anjiyografi

ST-Segment Elevation Myocardial Infarction Due to Carbon Monoxide Poisoning

Abstract

Introduction: Carbon monoxide (CO) intoxications, which are often characterized by neurological and respiratory symptoms, are commonly encountered serious poisonings. However, in the literature, although cardiac complications due to poisoning are rarely mortal, conditions such as serious arrhythmias and myocardial infarction have also been reported. Cardiac evaluation and follow-up on CO poisoning is very important for reducing mortality.Case Report: In the present case, we report a ST-segment elevation myocardial infarction (STEMI) believed to be triggered by CO poisoning established in a 48-year-old male patient, whose medical history was unremarkable, admitted to the emergency department due to stove poisoning and chest pain complaint.Conclusion: Although myocardial ischemia is an expected clinical condition in CO intoxications, STEMI is rare. In general, though underlying coronary heart disease is detected on angiography of patients with STEMI due to CO poisoning, in this rare condition, coronary artery anatomy can be completely normal

Keywords

• Carbon monoxide, poisoning, myocardial infarction, angiography

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