Cetin Mustafa, Ornek Ender, Murat Sani Namik, Cetin Zehra Guven, Oksuz Fatih, Gokcen Emre
Department of Cardiology, Atatürk Chest Disease and Chest Surgery Education and Research Hospital, Turkey.
Intern Med. 2011;50(21):2607-9. doi: 10.2169/internalmedicine.50.5929. Epub 2011 Nov 1.
Carbon monoxide intoxication is one of the most common types of poisoning in the world. Cardiac manifestations after exposure to carbon monoxide including myocardial ischemia, heart failure and arrhythmias have been reported. A 17-year-old woman was admitted to the emergency service with the complaints of palpitation, headache and nausea. Electrocardiogram revealed supraventricular tachycardia. The arterial blood gas analysis was normal. Her carboxyhemoglobin level was 19% and oxygen treatment was started promptly. Echocardiographic examination demonstrated normal cardiac function. To the best of our knowledge, this case report is the first carbon monoxide intoxication case in the literature presenting with supraventricular tachycardia attack.
一氧化碳中毒是全球最常见的中毒类型之一。接触一氧化碳后的心脏表现包括心肌缺血、心力衰竭和心律失常已有报道。一名17岁女性因心悸、头痛和恶心主诉被送往急诊。心电图显示室上性心动过速。动脉血气分析正常。她的碳氧血红蛋白水平为19%，立即开始吸氧治疗。超声心动图检查显示心脏功能正常。据我们所知，本病例报告是文献中首例以室上性心动过速发作为表现的一氧化碳中毒病例。
