RESUMEN
Infection with influenza type A virus may cause serious cardiovascular complications, such as myocarditis, heart failure, acute myocardial infarction. Also infection with influenza type AH1N1 may contribute to aggravation of cardiac disorders, i.e. acute coronary syndrome, heart failure, cardiogenic shock, severe ventricular arrythmias. One of the most fatal complication of influenza is pneumonia leading to acute respiratory insufficiency requiring artifitial ventilation. Symptoms of respiratory tract infections durnig influenza epidemy should always be treated with a high index of suspicion. Early diagnosis and adequate antiviral treatment may prevent those complications. A series of four cases of patients hospitalised in intensive cardiac care unit due to suspected cardiac dyspnea and finally diagnosed as a cardiac disease complicated by influenza pneumonia is presented.
Asunto(s)
Infección Hospitalaria/complicaciones , Infección Hospitalaria/diagnóstico , Cardiopatías/etiología , Virus de la Influenza A , Gripe Humana/complicaciones , Gripe Humana/diagnóstico , Infecciones del Sistema Respiratorio/etiología , Anciano , Antivirales/uso terapéutico , Servicio de Cardiología en Hospital , Comorbilidad , Femenino , Cardiopatías/diagnóstico , Humanos , Subtipo H1N1 del Virus de la Influenza A , Gripe Humana/tratamiento farmacológico , Unidades de Cuidados Intensivos , Masculino , Infecciones del Sistema Respiratorio/diagnóstico , Infecciones del Sistema Respiratorio/tratamiento farmacológicoRESUMEN
Carbon monoxide (CO) exposure is a common cause of unintentional poisoning. Clinical manifestation usually involve central nervous and cardio-vascular systems as brain and heart are very sensitive to hypoxia. Myocardial infarction pathogenesis during CO intoxication is complex. Generalised tissue hypoxia and increased thrombotic tendency may play an important role. A case of ST-segment elevation myocardial infarction following CO poisoning in a 58-year-old male is presented.