Bütan İnhalasyonu Sonrası Gelişen Normal Koroner Anjiografili Akut Myokard İnfarktüsü

Yıl 2015, Cilt: 6 Sayı: 1, 16 - 18, 01.01.2015

Şeref Kerem Çorbacıoğlu Şaban Akkuş Yunsur Çevik Emine Emektar İbrahim Kember Tuba Sarıaydın

Öz

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

Anahtar Kelimeler

Bütan gaz, vazospasm, myokard infarktüsü, anjiyografi

Acute Myocardial Infarction with Normal Coronary Angiography after Butane Inhalation

Öz

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

Anahtar Kelimeler

Butane gas, vasospasm, myocardial infarction, angiography

Kaynakça

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