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Review article

https://doi.org/10.22514/SV142.102018.11

Late-onset sick sinus syndrome after carbon monoxide poisoning

YUYA KOBAYASHI orcid id orcid.org/0000-0002-3447-4410 ; Komoro Kosei General Hospital 3-2-31 Yoramachi, Komoro 384-8588, Japan
YASUFUMI KONDO orcid id orcid.org/0000-0002-3447-4410
JUN TSUYUZAKI


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Abstract

Carbon monoxide (CO) is a known, potent poisonous gas that causes hypoxaemia because of its high affinity for haemoglobin. It also induces inflammatory responses that cause tissue injury, particularly to the nervous and cardiovascular systems. Here we present a case of late-onset sick sinus syndrome (SSS) after CO poisoning. Arrhythmia during the acute phase has been recorded in the literature, but to the best of our knowledge, this is the first report of late-onset SSS. Late-onset neuropathy after CO poisoning is well known, and it seems that a similar mechanism develops in cardiac conduction after CO poisoning. This report highlights the importance of follow-up for arrhythmia after CO poisoning.

Keywords

sick sinus syndrome; carbon monoxide poisoning; arrhythmia; neurologic injury; cardiac injury

Hrčak ID:

217606

URI

https://hrcak.srce.hr/217606

Publication date:

1.11.2018.

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