Karbonmonoksit Zehirlenmesine Bağlı ST Segment Elevasyonlu Miyokard Enfarktüsü

Year 2015, Volume: 6 Issue: 3, 46 - 48, 01.07.2015

Şeref Kerem Çorbacıoğlu , Gülşah Çıkrıkçı Yunsur Çevik

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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