A case of carbon monoxide poisoning presenting with supraventricular tachycardia.

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.

[1]  N. Pallua,et al.  A new tool for the early diagnosis of carbon monoxide intoxication , 2009, Inhalation Toxicology.

[2]  R. Hopkins,et al.  Carbon monoxide poisoning: risk factors for cognitive sequelae and the role of hyperbaric oxygen. , 2007, American journal of respiratory and critical care medicine.

[3]  Ali Dogan,et al.  Cardiovascular effects of carbon monoxide poisoning. , 2007, The American journal of cardiology.

[4]  C. R. Henry,et al.  Cardiovascular Manifestations of Moderate to Severe Carbon Monoxide Poisoning , 2006 .

[5]  Christopher R Henry,et al.  Myocardial injury and long-term mortality following moderate to severe carbon monoxide poisoning. , 2006, JAMA.

[6]  N. Hampson.  Trends in the incidence of carbon monoxide poisoning in the United States. , 2005, The American journal of emergency medicine.

[7]  S. Reisner,et al.  Cardiogenic shock complicating acute carbon monoxide poisoning despite neurologic and metabolic recovery. , 2002, Annals of emergency medicine.

[8]  D. Zahger,et al.  Severe reversible left ventricular dysfunction induced by carbon monoxide intoxication. , 2002, The American journal of emergency medicine.

[9]  M. Grant,et al.  Accidental carbon monoxide poisoning with severe cardiorespiratory compromise in 2 children. , 2002, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[10]  S. Priori,et al.  Carbon Monoxide Cardiotoxicity , 2001, Journal of toxicology. Clinical toxicology.

[11]  N. Hampson.  Pulse oximetry in severe carbon monoxide poisoning. , 1998, Chest.

[12]  J. Edelsberg,et al.  Hyperbaric-oxygen therapy. , 1996, The New England journal of medicine.

[13]  P. Perrotta,et al.  Treatment of carbon monoxide poisoning: a critical review of human outcome studies comparing normobaric oxygen with hyperbaric oxygen. , 1994, Annals of emergency medicine.

[14]  D. Penney.  Hemodynamic response to carbon monoxide. , 1988, Environmental health perspectives.

[15]  G. D. Middleton,et al.  DELAYED AND LONG-LASTING ELECTROCARDIOGRAPHIC CHANGES IN CARBON-MONOXIDE POISONING , 1961 .

[16]  J. Gilgenkrantz,et al.  [Electrocardiographic changes in acute carbon monoxide poisoning]. , 1959, La Presse medicale.

[17]  W. Thompson.  A case of carbon monoxide poisoning , 1905 .

[18]  R. S. Cosby,et al.  Electrocardiographic changes in carbon monoxide poisoning. , 1963, The American journal of cardiology.