Karbonmonoksit Zehirlenmesi ile İlişkili Atriyal Fibrilasyon Gelişimi

Amaç: Karbonmonoksit (CO) zehirlenmesi, dünyada morbidite ve mortaliteye neden olan en önemli toksikolojik nedenlerden biridir. Karbonmonoksit zehirlenmesi, oksijenin taşınmasını bozarak miyokardiyal hasara ve aritmilere neden olur. Literatürde, az sayıda CO zehirlenmesi kaynaklı atriyal fibrilasyon (AF) vakası bildirilmiştir. Bu vakada bir kadın hastada CO toksitesinin neden olduğu atriyal fibrilasyonu yüksek akımlı oksijen sağlayarak yani entübe ederek sinüs ritmine başarılı dönüşümünü bildirdik. Olgu: Karbonmonoksit zehirlenmesi sonucu atriyal fibrilasyon gelişen ve hipoksi giderildikten sonra sinüs ritmi sağlanan 53 yaşında kadın hastayı sunduk. Sonuç: Hasta entübe edilmiş olup yüksek akımlı oksijen sonrası hipoksi giderilmiştir. Kan gazı parametrelerinin düzelmesi üzerine ekstübe edilmiştir. Kontrol EKG’de normal sinüs ritmi tespit edilmiştir.

Development of Atrial Fibrillation Associated with Carbon Monoxide Poisoning

Objective: Carbon monoxide (CO) poisoning is one of themost important toxicological global causes of morbidity andmortality. Carbon monoxide poisoning causes myocardialdamage and arrhythmias by impairing the transport ofoxygen. In the literature, there have been few cases of COpoisoning-induced atrial fibrillation (AF) reported. In thiscase, we report a successful conversion of sinus rhythm into afemale patient by providing high flow oxygen (to intubate) tothe atrial fibrillation caused by CO toxicity.Case: We report a 53-year-old female patient who had atrialfibrillation due to carbon monoxide poisoning and was givensinus rhythm after removal of hypoxia.Conclusion: The patient was intubated and hypoxia wasremoved after high flow oxygen. After 12 hours, thepatient was extubated on the improvement of the blood gasparameters. Normal sinus rhythm was detected on the controlECG.

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