Acute myocardial injury mimicking an ST-elevation myocardial infarction secondary to carbon monoxide poisoning
Journal
Acta Cardiologica Sinica
Journal Volume
22
Journal Issue
4
Pages
229-233
Date Issued
2006
Author(s)
Abstract
Carbon monoxide poisoning is a common cause of toxicological events. It usually leads to well-known neurological deficits, but the cardiac manifestation seems not uncommon. In previously reported cases, carbon monoxide poisoning-related myocardial ischemic change often revealed ST-depression or T-wave inversion on electrocardiography. We report a case of a 29-year-old female, who intentionally got carbon monoxide poisoning, developing acute heart failure with ST elevation in V2-V3 on electrocardiography and elevated cardiac enzymes. After treatment, the cardiac dysfunction and electrocardiogram completely recovered. This case demonstrates that a carbon monoxide poisoning-related myocardial injury may mimic an acute ST-elevation myocardial infarction, and the myocardial dysfunction may be reversible if the patient survives.
SDGs
Other Subjects
carbon monoxide; heart enzyme; acute disease; acute heart failure; adult; article; blood examination; carbon monoxide intoxication; case report; clinical feature; electrocardiography; female; follow up; heart infarction; heart muscle injury; hospital discharge; human; physical examination; ST segment elevation; T wave inversion
Type
journal article