Carbon monoxide poisoning-induced cardiomyopathy from charcoal at a barbecue restaurant: a case report

Hyun-Jun Kim; Yun Kyung Chung; Kyeong Min Kwak; Se-Jin Ahn; Yong-Hyun Kim; Young-Su Ju; Young-Jun Kwon; Eun-A Kim

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자료유형: 학술저널

저자정보: Hyun-Jun Kim (Hallym University Sacred Heart Hospital) Yun Kyung Chung (Hallym University Sacred Heart Hospital) Kyeong Min Kwak (Hallym University Sacred Heart Hospital) Se-Jin Ahn (Hallym University Sacred Heart Hospital) Yong-Hyun Kim (Hallym University Sacred Heart Hospital) Young-Su Ju (Hallym University Sacred Heart Hospital) Young-Jun Kwon (Hallym University Sacred Heart Hospital) Eun-A Kim (Korea Occupational Safety and Health Agency)

저널정보: 대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제27권 제4호

발행연도: 2015.4

수록면: 7 - 14 (8page)

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Objective: Acute carbon monoxide poisoning has important clinical value because it can cause severe adverse cardiovascular effects and sudden death. Acute carbon monoxide poisoning due to charcoal is well reported worldwide, and increased use of charcoal in the restaurant industry raises concern for an increase in occupational health problems. We present a case of carbon monoxide poisoning induced cardiomyopathy in a 47-year-old restaurant worker.
Materials and methods: A male patient was brought to the emergency department to syncope and complained of left chest pain. Cardiac angiography and electrocardiography were performed to rule out acute ischemic heart disease, and cardiac markers were checked. After relief of the symptoms and stabilization of the cardiac markers, the patient was discharged without any complications.
Results: Electrocardiography was normal, but cardiac angiography showed up to a 40% midsegmental stenosis of the right coronary artery with thrombotic plaque. The level of cardiac markers was elevated at least 5 to 10 times higher than the normal value, and the carboxyhemoglobin concentration was 35% measured at one hour after syncope. Following the diagnosis of acute carbon monoxide poisoning induced cardiomyopathy, the patient’s medical history and work exposure history were examined. He was found to have been exposed to burning charcoal constantly during his work hours.
Conclusions: Severe exposure to carbon monoxide was evident in the patient because of high carboxyhemoglobin concentration and highly elevated cardiac enzymes. We concluded that this exposure led to subsequent cardiac injury. He was diagnosed with acute carbon monoxide poisoning-induced cardiomyopathy due to an unsafe working environment. According to the results, the risk of exposure to noxious chemicals such as carbon monoxide by workers in the food service industry is potentially high, and workers in this sector should be educated and monitored by the occupational health service to prevent adverse effects.

#Carbon monoxide poisoning #Cardiomyopathy #Charcoal #Restaurant worker

참고문헌 (24)

참고문헌 신청

이승재 / 2011 / A Case Report of Carbon Monoxide Poisoning Induced Cardiomyopathy Complicated with Left Ventricular Thrombus / Journal of Cardiovascular Ultrasound 19(2):83~86

Aoki H / 2012 / Clinical analysis of acute carbon monoxide poisoning with myocardial injury / Chudoku Kenkyu 25(4):305~308

Gandini C / 2001 / Carbon monoxide cardiotoxicity / J Toxicol Clin Toxicol 39:35~44

Rastelli G / 2009 / Myocardial injury in carbon monoxide poisoning / G Ital Cardiol 10:227~233

Wu L / 2005 / Carbon monoxide : endogenous production, physiological functions, and pharmacological applications / Pharmacol Rev 57:585~630

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