Öz
Giriş: Tıkayıcı koroner arter hastalığı olmaksızın gelişen miyokart enfarktüsü (MINOCA), sınırlı bilgiler ile karakterize yeni bir klinik bulmacadır.
Olgu: Bu olguda, metanol zehirlenmesi ve MINOCA sendromunun birlikteliğini sunmayı amaçladık. Bu olgu, yüksek anyon açıklı metabolik asidozu olan hastalarda kardiyak fonksiyonunun elektrokardiyografi ve kardiyak biyobelirteçler ile izlenmesinin önemini vurgulamaktadır.
Sonuç: Bu vaka raporu, MINOCA sendromunun metanol zehirlenmesiyle birlikteliğini göstermektedir. Olgu, yüksek anyon açıklı metabolik asidozla birlikte görülen metanol zehirlenmesiyle ilişkili ilk MINOCA vakasıdır.
Anahtar Kelimeler
Kaynakça
- 1. Takahashi J, Onuma S, Hao K, Godo S, Shiroto T, Yasuda S. Pathophysiology and diagnostic pathway of myocardial infarction with non-obstructive coronary arteries. J Cardiol 2024;83(1):17-24.
- 2. Bainey KR, Welsh RC, Alemayehu W, Westerhout CM, Traboulsi D, Anderson T, et al. Population-level incidence and outcomes of myocardial infarction with non-obstructive coronary arteries (MINOCA): Insights from the Alberta contemporary acute coronary syndrome patients invasive treatment strategies (COAPT) study. Int J Cardiol 2018;264:12-7.
- 3. Abdu FA, Mohammed AQ, Liu L, Xu Y, Che W. Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA): A Review of the Current Position. Cardiology 2020;145(9):543-52.
- 4. Cheema AN, Yanagawa B, Verma S, Bagai A, Liu S. Myocardial infarction with nonobstructive coronary artery disease (MINOCA): a review of pathophysiology and management. Curr Opin Cardiol 2021;36(5):589-96.
- 5. Agewall S, Beltrame JF, Reynolds HR, Niessner A, Rosano G, Caforio AL, et al. ESC working group position paper on myocardial infarction with non-obstructive coronary arteries. Eur Heart J 2017;38(3):143-153.
- 6. Magdalan J, Zawadzki M, Maksymowicz K. Fatal methanol poisoning complicated with acute coronary syndrome--a case report. Przegl Lek 2010; 67; 8: 610-2.
- 7. Boyaci F, Akcay M, Sahin MK, Erzincan M, Ucar M. Causation or coincidence? A case of methanol intoxication presenting with acute myocardial infarction and visual impairment. J Exp Clin Med 2024; 41(2): 436-439
- 8. Nikoo MH, Arjangzadeh A, Pakfetrat M, Boogar SS, Mohammadkarimi V, Ostovan VR, et al. Electrocardiographic findings of methanol toxicity: a cross-sectional study of 356 cases in Iran. BMC Cardiovasc Disord 2020; 20; 1: 415.
Öz
Introduction: Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a relatively novel clinical puzzle characterized by limited research.
Case Report: In this case, we aimed to present the co-occurrence of methanol poisoning and MINOCA syndrome. This case demonstrates the importance of monitoring cardiac function with electrocardiography and cardiac biomarkers in patients within a high anion gap metabolic acidosis environment.
Conclusion: This case report is showing co-occurrences of MINOCA syndrome with methanol poisoning. This report is the first case of myocardial infarction in non-obstructive coronary arteries associated with methanol poisoning accompanied by high anion gap metabolic acidosis in the literature.
Anahtar Kelimeler
Kaynakça
- 1. Takahashi J, Onuma S, Hao K, Godo S, Shiroto T, Yasuda S. Pathophysiology and diagnostic pathway of myocardial infarction with non-obstructive coronary arteries. J Cardiol 2024;83(1):17-24.
- 2. Bainey KR, Welsh RC, Alemayehu W, Westerhout CM, Traboulsi D, Anderson T, et al. Population-level incidence and outcomes of myocardial infarction with non-obstructive coronary arteries (MINOCA): Insights from the Alberta contemporary acute coronary syndrome patients invasive treatment strategies (COAPT) study. Int J Cardiol 2018;264:12-7.
- 3. Abdu FA, Mohammed AQ, Liu L, Xu Y, Che W. Myocardial Infarction with Nonobstructive Coronary Arteries (MINOCA): A Review of the Current Position. Cardiology 2020;145(9):543-52.
- 4. Cheema AN, Yanagawa B, Verma S, Bagai A, Liu S. Myocardial infarction with nonobstructive coronary artery disease (MINOCA): a review of pathophysiology and management. Curr Opin Cardiol 2021;36(5):589-96.
- 5. Agewall S, Beltrame JF, Reynolds HR, Niessner A, Rosano G, Caforio AL, et al. ESC working group position paper on myocardial infarction with non-obstructive coronary arteries. Eur Heart J 2017;38(3):143-153.
- 6. Magdalan J, Zawadzki M, Maksymowicz K. Fatal methanol poisoning complicated with acute coronary syndrome--a case report. Przegl Lek 2010; 67; 8: 610-2.
- 7. Boyaci F, Akcay M, Sahin MK, Erzincan M, Ucar M. Causation or coincidence? A case of methanol intoxication presenting with acute myocardial infarction and visual impairment. J Exp Clin Med 2024; 41(2): 436-439
- 8. Nikoo MH, Arjangzadeh A, Pakfetrat M, Boogar SS, Mohammadkarimi V, Ostovan VR, et al. Electrocardiographic findings of methanol toxicity: a cross-sectional study of 356 cases in Iran. BMC Cardiovasc Disord 2020; 20; 1: 415.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Acil Tıp |
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Haziran 2025 |
| Gönderilme Tarihi | 26 Aralık 2024 |
| Kabul Tarihi | 24 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 16 Sayı: 2 |
