title: Myocardial Rupture following Carbon Monoxide Poisoning.
abstract: We present the first case of severe cardiotoxicity of carbon monoxide leading to myocardial rupture and fatal outcome. 83-year-old woman was hospitalized 4 hours after the fire in her house with no respiratory or cardiac symptoms. After two days, she has suffered sudden collapse leading to cardiac arrest. Postmortem examination revealed intramural haemorrhage with myocardial rupture at the apex of the left ventricle. Minimal stenosis was noted in the proximal coronary arteries with no evidence of distal occlusion or any other long-standing heart disease. This case supports recommendations for targeted cardiovascular investigations in cases of CO poisoning.
authors.affiliation: Clinic of Anaesthesiology and Intensive Care, Centre of Toxicology, Faculty of Medicine, Vilnius University, Siltnamiu Street 29, LT-04130 Vilnius, Lithuania.
authors.forename: Gabija
authors.initials: G
authors.lastname: Dragelytė
authors.affiliation: Department of Pathology, Forensic Medicine and Pharmacology, Faculty of Medicine, Vilnius University, M. K. Čiurlionio Street 21/27, LT-03101 Vilnius, Lithuania.
authors.forename: Jūris
authors.initials: J
authors.lastname: Plenta
authors.affiliation: Department of Pathology, Forensic Medicine and Pharmacology, Faculty of Medicine, Vilnius University, M. K. Čiurlionio Street 21/27, LT-03101 Vilnius, Lithuania.
authors.forename: Sigitas
authors.initials: S
authors.lastname: Chmieliauskas
authors.affiliation: Department of Pathology, Forensic Medicine and Pharmacology, Faculty of Medicine, Vilnius University, M. K. Čiurlionio Street 21/27, LT-03101 Vilnius, Lithuania.
authors.forename: Algimantas
authors.initials: A
authors.lastname: Jasulaitis
authors.affiliation: State Forensic Medicine Service under the Ministry of Justice of the Republic of Lithuania, Didlaukio Street 86E, LT-08303 Vilnius, Lithuania.
authors.forename: Romas
authors.initials: R
authors.lastname: Raudys
authors.affiliation: Lithuanian University of Health Sciences, Eiveniu Street 2, LT-50009 Kaunas, Lithuania.
authors.forename: Tomas
authors.initials: T
authors.lastname: Jovaiša
authors.affiliation: Clinic of Anaesthesiology and Intensive Care, Centre of Toxicology, Faculty of Medicine, Vilnius University, Siltnamiu Street 29, LT-04130 Vilnius, Lithuania.
authors.forename: Robertas
authors.initials: R
authors.lastname: Badaras
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