Gedela Maheedhar, Weltman Nathan Y, Chavvakula Naga Sushma, Carpenter Paul L, Sturm Tamera
University of South Dakota Sanford School of Medicine.
Sri Manakula Vinayagar Medical College and Hospital, India.
S D Med. 2017 Jul;70(7):319-321.
Carbon monoxide (CO) intoxication is one of the major public health hazards which may go unnoticed as this is a colorless, odorless and tasteless gas. The manifestations of the CO poisoning are far-reaching. Although CO affects almost every organ in the body, cerebral and myocardial involvement are predominant due to the hypoxia-induced cellular damage. The mainstay treatment is providing high-flow oxygen and in some instances hyperbaric oxygen therapy. In the literature, there have been few cases of CO poisoning-induced atrial fibrillation (AF) reported. We hereby report an AF caused by CO toxicity in a young male patient and successful conversion to sinus rhythm with the hyperbaric therapy.
一氧化碳(CO)中毒是主要的公共卫生危害之一,由于这种气体无色、无味、无嗅,可能未被察觉。CO中毒的表现影响深远。尽管CO几乎会影响身体的每个器官,但由于缺氧导致的细胞损伤,脑和心肌受累最为突出。主要治疗方法是提供高流量氧气,在某些情况下采用高压氧治疗。在文献中,鲜有CO中毒诱发心房颤动(AF)的病例报道。我们在此报告一名年轻男性患者因CO中毒导致AF,并通过高压氧治疗成功转为窦性心律。