From Carbon Monoxide Poisoning to Myocardial Infarction

被引：0
作者：
Camacho, Cristiana [1 ]
Pinto, Fausto S. [1 ]
Gouveia, Claudio [1 ]
Chambino, Beatriz [1 ]
Rodrigues, Catarina [1 ]
机构：
[1] Ctr Hosp Lisboa Ocidental, Internal Med, Lisbon, Portugal
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 12期
关键词：
acute myocardial injury; st-elevation myocardial infarction (stemi); hyperbaric oxygen therapy; poisoning; carbon monoxide; MANAGEMENT; DIAGNOSIS; INJURY;
D O I：
10.7759/cureus.51201
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Myocardial injury is a known complication following acute carbon monoxide (CO) poisoning, yet there is little literature on this subject. Here, we present the case of a 56-year-old man admitted to the emergency room with severe CO poisoning. The electrocardiogram (ECG) at admission revealed an ST-segment elevation in leads II, III, and aVF, with an elevated troponin-T level. The patient was initially treated with hyperbaric oxygen, with improvement of symptoms and ECG normalization. He was later admitted for coronary angiography, which revealed an occlusion of the right coronary artery. This case aims to highlight an often-overlooked complication of CO intoxication and the need for more studies to better guide the treatment of these patients.
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