Inoue Haruna, Nishimura Takeshi, Nojima Tsuyoshi, Naito Hiromichi
Cardiology, Kobe Red Cross Hospital, Kobe, JPN.
Department of Emergency and Critical Care Medicine, Hyogo Emergency Medicine, Kobe, JPN.
Cureus. 2021 Mar 29;13(3):e14179. doi: 10.7759/cureus.14179.
A 49-year-old man transferred to our hospital for dyspnea that developed while transporting significant loads of dry ice, which may have caused potential carbon dioxide intoxication. On admission, he presented hyperventilation and disorientation. Transthoracic echocardiography showed the reduced motion of the anterior wall of the left ventricle with decreased left ventricular ejection fraction. The patient underwent coronary angiography, which did not show apparent coronary arterial stenosis. The electrocardiogram revealed T-wave change and echocardiography results showed the subsided changes on the third hospital day. He was discharged without any symptoms on the fourth hospital day. Our case demonstrates the potential association between carbon dioxide intoxication and Takotsubo cardiomyopathy. Our experience may inform emergency physicians in formulating diagnostic/therapeutic approaches for similar patients experiencing cardiac failure following carbon dioxide intoxication.
一名49岁男性因搬运大量干冰时出现呼吸困难被转至我院，这可能导致了潜在的二氧化碳中毒。入院时，他表现为呼吸急促和定向障碍。经胸超声心动图显示左心室前壁运动减弱，左心室射血分数降低。患者接受了冠状动脉造影，未显示明显的冠状动脉狭窄。心电图显示T波改变，超声心动图结果显示在住院第三天这些改变有所减轻。他在住院第四天无症状出院。我们的病例证明了二氧化碳中毒与Takotsubo心肌病之间的潜在关联。我们的经验可能会为急诊医生为类似的二氧化碳中毒后出现心力衰竭的患者制定诊断/治疗方法提供参考。
