Hazım Alper GÜRSU, Utku PAMUK, Serhat EMEKSİZ, İlker ÇETİN, Yasemin ÖZDEMİR ŞAHAN

A rare cause of fatal cardiac arrhythmia: Inhalation of butane gas

ISSN: 0041-4301
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 1958
Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü

Butane gas, especially available in lighters, is commonly misused amongadolescents and its side effects are rarely observed but serious. A 14-yearold male was brought to our emergency department. The electrocardiographic(ECG) examination showed biphasic T waves in leads V4-V6, and long QTc at481ms. Echocardiographic study showed left ventricular systolic dysfunction.Troponin I level was found to be high at 9.1 ng/ml. Taking into considerationthe patient’s history, clinical and laboratory findings, ventricular fibrillationand myocardial injury resulting from butane gas inhalation was diagnosed.

PDF

___

1. Altındag A, Ozkan M, Oto R. İnhalanla ilişkili bozukluklar. Klinik Psikofarmakoloji Bülteni 2001; 11: 143-148.
2. Yaşan A, Gürgen F. Güneydoğu Anadolu Bölgesinde ergenlerde uçucu madde kullanım özellikleri. Bağımlılık Dergisi 2004; 5: 28-34.
3. Sugie H, Sasaki C, Hashimoto C, et al. Three cases of sudden death due to butane or propane gas inhalation: Analysis of tissues for gas components. Forensic Sci Int 2004; 143: 211-214.
4. Sen A, Erdivanli B. Cardiac arrest following butane inhalation. Anesth Essays Res 2015; 9: 273-275.
5. Godlewski K, Werner B, Sterliński M, et al. Myocardial infarction after butane inhalation in a 14-year-old boy. Kardiol Pol 2006; 64: 305-308.
6. De Naeyer AH, de Kort SW, Portegies MC, Deraedt DJ, Buysse CM. Myocardial infarction in a 16-year old following inhalation of butane gas. Ned Tijdschr Geneeskd 2011; 155: A3443.