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http://dx.doi.org/10.4070/kcj.2012.42.2.133

A Case of Acute Carbon Monoxide Poisoning Resulting in an ST Elevation Myocardial Infarction  

Kim, Soo-Hyun (Division of Cardiology, Internal Medicine, Konkuk University Chungju Hospital)
Lim, Joo-Han (Division of Hemato-Oncology, Internal Medicine, Inha University Hospital)
Kim, Young-Joong (Division of Cardiology, Internal Medicine, Konkuk University Chungju Hospital)
Oh, Se-Won (Division of Cardiology, Internal Medicine, Konkuk University Chungju Hospital)
Choi, Woong-Gil (Division of Cardiology, Internal Medicine, Konkuk University Chungju Hospital)
Publication Information
Korean Circulation Journal / v.42, no.2, 2012 , pp. 133-135 More about this Journal
Abstract
Carbon monoxide (CO) is a well-known chemical asphyxiant, which causes tissue hypoxia with prominent neurological and cardiovascular injury. After exposure to CO, several cardiac manifestations have been reported, including arrhythmias, acute myocardial infarction, and pulmonary edema. However, an ST elevation myocardial infarction (STEMI) due to CO poisoning is a very rare presentation, and the treatment for STEMI due to CO poisoning is not well established. Here, we report a rare case of STEMI complicated by increased thrombogenicity secondary to acute CO poisoning and complete revascularization after antithrombotic treatment.
Keywords
Carbon monoxide; Myocardial infarction;
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1 McCabe MJ, Weston CF, Fraser AG. Acute myocardial infarction related to smoke inhalation and myocardial bridging. Postgrad Med J 1992;68: 758-61.   DOI   ScienceOn
2 Aronow WS. Effect of carbon monoxide on cardiovascular disease. Prev Med 1979;8:271-8.   DOI   ScienceOn
3 Weaver LK. Clinical practice: carbon monoxide poisoning. N Engl J Med 2009;360:1217-25.   DOI   ScienceOn
4 Chong DY, Lee Y, Cho SH, Song KY. Electron Microscopic Study on mitochondria and cytochrome oxidase activity following acute carbon monoxide exposure in rat myocardium. Korean Circ J 1988;18:69-83.   DOI
5 Gandini C, Castoldi AF, Candura SM, et al. Carbon monoxide cardiotoxicity. J Toxicol Clin Toxicol 2001;39:35-44.   DOI
6 McMeekin JD, Finegan BA. Reversible myocardial dysfunction following carbon monoxide poisoning. Can J Cardiol 1987;3:118-21.
7 Allred EN, Bleecker ER, Chaitman BR, et al. Short term effects of carbon monoxide exposure on the exercise performance of subjects with coronary artery disease. N Engl J Med 1989;321:1426-32.   DOI   ScienceOn
8 Hsu PC, Lin TH, Su HM, et al. Acute carbon monoxide poisoning resulting in ST elevation myocardial infarction: a rare case report. Kaohsiung J Med Sci 2010;26:271-5.   DOI   ScienceOn
9 Raub JA, Mathieu-Nolf M, Hampson NB, Thom SR. Carbon monoxide poisoning: a public health perspective. Toxicology 2000;145:1-14.   DOI   ScienceOn
10 Satran D, Henry CR, Adkinson C, Nicholson CI, Bracha Y, Henry TD. Cardiovascular manifestations of moderate to severe carbon monoxide poisoning. J Am Coll Cardiol 2005;45:1513-6.   DOI   ScienceOn
11 Marius-Nunez AL. Myocardial infarction with normal coronary arteries after acute exposure to carbon monoxide. Chest 1990;97:491-4.   DOI   ScienceOn
12 Hampson NB, Hauff NM. Carboxyhemoglobin levels in carbon monoxide poisoning: do they correlate with the clinical picture? Am J Emerg Med 2008;26:665-73.   DOI   ScienceOn