Abstract:
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.
摘要:
心肌损伤是急性一氧化碳(CO)中毒后的已知并发症,然而,关于这个问题的文献很少。这里,我们介绍一名56岁男子因严重一氧化碳中毒入院急诊室。入院时的心电图(ECG)显示II导联ST段抬高,III,和aVF,肌钙蛋白T水平升高.病人最初接受高压氧治疗,随着症状的改善和心电图的正常化。他后来因冠状动脉造影入院,显示右冠状动脉闭塞.该病例旨在强调经常被忽视的一氧化碳中毒并发症,以及需要更多的研究来更好地指导这些患者的治疗。