Myocardial Rupture following Carbon Monoxide Poisoning. (8th July 2014)

• Record Type: Journal Article
• Authors: Dragelytė, Gabija; Plenta, Jūris; Chmieliauskas, Sigitas; Jasulaitis, Algimantas; Raudys, Romas; Jovaiša, Tomas; Badaras, Robertas
• Other Names: Egi Moritoki Academic Editor.
• Is Part Of: Case reports in critical care. Volume 2014(2014)
• Publication Date: 2014-07-08
• Subjects: Critical care medicine -- Periodicals; Emergency medicine -- Periodicals; Medical emergencies -- Periodicals; 616.02805
• DOI: 10.1155/2014/281701
• Languages: English
• ISSNs: 2090-6420

Abstract

Abstract : We present the first case of severe cardiotoxicity of carbon monoxide leading to myocardial rupture and fatal outcome. 83-year-old woman was hospitalized 4 hours after the fire in her house with no respiratory or cardiac symptoms. After two days, she has suffered sudden collapse leading to cardiac arrest. Postmortem examination revealed intramural haemorrhage with myocardial rupture at the apex of the left ventricle. Minimal stenosis was noted in the proximal coronary arteries with no evidence of distal occlusion or any other long-standing heart disease. This case supports recommendations for targeted cardiovascular investigations in cases of CO poisoning.