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West Indian med. j ; 58(5): 485-487, Nov. 2009. ilus
Article in English | LILACS | ID: lil-672525

ABSTRACT

This is a report of a patient who had documented coronary artery disease and was admitted with chest pain, nausea, vomiting and headache. She was immediately taken to coronary angiography and underwent percutaneous coronary intervention with stent implantation. After the operation, she was coincidentally diagnosed to have Carbon Monoxide (CO) poisoning. We discuss if percutaneous intervention (PCI) was an overtreatment and briefly review the mechanisms of the cardiovascular effects of CO toxicity which is an insidious pathology and diagnosed only if it is suspected.


Este es un reporte de una paciente con enfermedad de la arteria coronaria documentada, quien fuera ingresado con dolor de pecho, náuseas, vómitos y dolor de cabeza. A la paciente se le hizo inmediatamente una angiografía coronaria y se le realizó una intervención coronaria percutánea con implantación de stent. Después de la operación, se le diagnosticó por coincidencia envenenamiento por monóxido de carbono (CO). Analizamos si la intervención percutánea (IPC) fue un sobretratamiento y examinamos brevemente los mecanismos de los efectos cardiovasculares de la toxicidad por CO que puede ser insidiosa y diangosticada sólo si se tiene sospecha.


Subject(s)
Female , Humans , Middle Aged , Carbon Monoxide Poisoning/diagnosis , Coronary Artery Disease/diagnosis , Diagnostic Errors , Blood Gas Analysis , Carbon Monoxide Poisoning/complications , Chest Pain/etiology , Coronary Angiography , Coronary Artery Disease , Coronary Artery Disease/surgery , Electrocardiography
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