Acute Heart Failure in a Healthy Young Patient after Severe Carbon Monoxide Poisoning
KeywordsCarbon monoxide poisoning, acute heart failure, echocardiography, intensive care unit, hyperbaric oxygen therapy
Introduction: Carbon monoxide (CO) poisoning may cause severe cellular hypoxia.
Materials and methods: A 28-year-old male presented reduced levels of consciousness and dyspnoea after CO exposure. Clinical examination revealed tachypnoea, bilateral rales, dilated jugular veins and confusion. Troponin I, lactate and carboxyhaemoglobin levels were increased. Thoracic X-ray depicted pulmonary oedema and an echocardiogram, severe heart failure (HF; EF<25%). He was intubated due to clinical deterioration.
Results: He remained intubated for 5 days with excellent improvement of left ventricular function (EF>55%). He was discharged 1 week later with full recovery.
Discussion: Acute HF is a rare serious complication of CO poisoning, even in healthy young individuals.
Issue: Vol 6 No 12 (view)