Acute Heart Failure in a Healthy Young Patient after Severe Carbon Monoxide Poisoning

  • Christos E Lampropoulos Department of Internal Medicine, Panarcadian General Hospital, Tripoli, Greece
  • Evagelia Sklavou Intensive Care Unit, General Hospital of Pyrgos, Pyrgos, Greece
  • Charalampos Anastogiannis Intensive Care Unit, General Hospital of Pyrgos, Pyrgos, Greece
  • Vasiliki Papanikolaou Department of Internal Medicine, Panarcadian General Hospital, Tripoli, Greece
  • Dimitris Tsilivarakis Department of Internal Medicine, Panarcadian General Hospital, Tripoli, Greece
  • Vasilis Vasiliou Department of Internal Medicine, Panarcadian General Hospital, Tripoli, Greece
  • Ioanna Papaioannou Department of Internal Medicine, Panarcadian General Hospital, Tripoli, Greece

Keywords

Carbon monoxide poisoning, acute heart failure, echocardiography, intensive care unit, hyperbaric oxygen therapy

Abstract

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.

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  • Published: 2019-12-09

    Issue: Vol 6 No 12 (view)

    Section: Articles

    How to cite:
    Lampropoulos, C., Sklavou, E., Anastogiannis, C., Papanikolaou, V., Tsilivarakis, D., Vasiliou, V., & Papaioannou, I. (2019). Acute Heart Failure in a Healthy Young Patient after Severe Carbon Monoxide Poisoning. European Journal of Case Reports in Internal Medicine, 6(12). https://doi.org/https://doi.org/10.12890/2019_001340