Lee Seung-Jae, Kang Ju-Hyun, Kim Nam-Yong, Baek In-Woon, Park Mi-Youn, Shim Byung-Ju, Koh Yoon-Seok, Shin Woo-Seung, Lee Jong-Min, Jeon Hui-Kyung
Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.
J Cardiovasc Ultrasound. 2011 Jun;19(2):83-6. doi: 10.4250/jcu.2011.19.2.83. Epub 2011 Jun 30.
The heart and the brain, most oxygen-dependent organs, may be severely affected after carbon monoxide (CO) exposure. CO induced cardiotoxicity may occur as a consequence of moderate to severe CO poisoning, including angina attack, myocardial infarct, arrhythmias, and heart failure. We present a rare case of CO poisoning induced cardiomyopathy with left ventricular (LV) thrombus. It is thought that LV thrombus may have been caused severely decreased LV function with dyskinesis. After short-term anticoagulant therapy, echocardiography findings revealed complete recovery of LV dyskinesis and resolution of LV thrombus.
心脏和大脑是对氧气依赖程度最高的器官,一氧化碳(CO)中毒后可能会受到严重影响。中度至重度CO中毒可能导致CO诱发的心脏毒性,包括心绞痛发作、心肌梗死、心律失常和心力衰竭。我们报告了一例罕见的CO中毒诱发的心肌病伴左心室(LV)血栓形成的病例。据认为,LV血栓可能是由于LV功能严重下降伴运动障碍所致。经过短期抗凝治疗后,超声心动图检查结果显示LV运动障碍完全恢复,LV血栓消失。