Chest Pain in a Young Male with Carbon Monoxide Poisoning and Substance Abuse: A Case Report and Literature Review.

IF 0.5 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

ARYA Atherosclerosis Pub Date : 2023-02-01 DOI:10.48305/ARYA.2023.11795.2447

Mohammad Mostafa Ansari Ramandi, Niloufar Valizadeh, Ali Moezzi, Mohamadyousef Ghoddusi, Farbod Hatami

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引用次数: 0

Abstract

Background: Carbon monoxide (CO) poisoning is the leading cause of poisoning-related deaths in the United States. In addition, myocardial infarction (MI) due to CO poisoning in a young, healthy adult is rare. On the other hand, smokeless tobacco, processed in various forms, is a controversial coronary heart disease (CHD) risk factor.

Case report: In this study, we describe a 29-year-old man who presented with acute chest pain following a night of smoking tobacco and using smokeless tobacco in the presence of carbon monoxide poisoning. ST-segment elevation was observed on an electrocardiogram, and echocardiography revealed akinesia. In addition, cardiac markers were elevated. In this particular instance, thrombolytic therapy demonstrated successful outcomes.

Conclusions: We believe the case and discussion could shed light on the emergency department management of such individuals. We advise clinicians to consider the possibility of coronary heart disease in carbon monoxide poisoning patients and to obtain a baseline electrocardiogram and cardiac markers.

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一氧化碳中毒并滥用药物的年轻男性胸痛：病例报告与文献综述

背景：一氧化碳（CO）中毒是美国中毒致死的主要原因。此外，年轻、健康的成年人因一氧化碳中毒而导致心肌梗死（MI）的情况非常罕见。另一方面，以各种形式加工的无烟烟草是一种有争议的冠心病（CHD）危险因素：在本研究中，我们描述了一名 29 岁的男性，他在一夜吸烟和使用无烟烟草后出现急性胸痛，并伴有一氧化碳中毒。心电图观察到 ST 段抬高，超声心动图显示心动过速。此外，心脏标志物也升高了。在这个特殊病例中，溶栓治疗取得了成功：我们认为该病例和讨论可以为急诊科处理此类患者提供启示。我们建议临床医生考虑一氧化碳中毒患者冠心病的可能性，并获取基线心电图和心脏标志物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ARYA Atherosclerosis CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.00

自引率

0.00%

发文量

审稿时长

18 weeks