• Undersea Hyperbar M · Mar 2019

    Case Reports

    Atrial fibrillation associated with carbon monoxide poisoning.

    • Mevlut Demir, Muslum Sahin, and Ahmet Korkmaz.
    • Birecik Government Hospital, Department of Cardiology, Sanliurfa, Turkey.
    • Undersea Hyperbar M. 2019 Mar 1; 46: 203-206.

    AbstractCarbon monoxide intoxication occurs usually via inhalation of carbon monoxide that is emitted as a result of a fire, furnace, space heater, generator, motor vehicle. A 37-year-old male patient was admitted to the emergency department at about 5:00 a.m., with complaints of nausea, vomiting and headache. He was accompanied by his wife and children. His venous blood gas measures were: pH was 7.29, partial pressure of carbon dioxide (pCO2) was 42 mmHg, partial pressure of oxygen (pO2) was 28 mmHg, carboxyhemoglobin (COHb) was 12.7% (reference interval: 0.5%-2.5%) and oxygen saturation was 52.4%. Electro-cardiogram (ECG) examination showed that the patient was not in sinus rhythm but had atrial fibrillation. After three hours the laboratory examination was repeated: Troponin was 1.2 pg/ml and in the arterial blood gas COHb was 3%. The examination of the findings on the monitor showed that the sinus rhythm was re-established. The repeated ECG examination confirmed the conversion to sinus rhythm. He was monitored with the normobaric oxygen administration.Copyright© Undersea and Hyperbaric Medical Society.

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