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一氧化碳中毒致心肌病合并左心室血栓一例报告

A case report of carbon monoxide poisoning induced cardiomyopathy complicated with left ventricular thrombus.

作者信息

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

机构信息

Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

J Cardiovasc Ultrasound. 2011 Jun;19(2):83-6. doi: 10.4250/jcu.2011.19.2.83. Epub 2011 Jun 30.

DOI:10.4250/jcu.2011.19.2.83
PMID:21860722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3150701/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b4b/3150701/6cae9951a4f9/jcu-19-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b4b/3150701/b43d59933cee/jcu-19-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b4b/3150701/6cae9951a4f9/jcu-19-83-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b4b/3150701/b43d59933cee/jcu-19-83-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b4b/3150701/6cae9951a4f9/jcu-19-83-g002.jpg

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