Paroxysmal atrial fibrillation after hyperbaric oxygen therapy
Gokhan Celbek1, Behic Volkan Boz, Sabri Onur Caglar
1Department of Internal Medicine, Duzce University School of Medicine, 81620 Duzce, Turkey.
The American Journal of Emergency Medicine
|May 29, 2012
Summary
Hyperbaric oxygen (HBO) therapy, used for conditions like carbon monoxide poisoning, may be linked to new-onset atrial fibrillation (AF). This case highlights the importance of ECG monitoring before and after HBO treatment.
Area of Science:
- Cardiology
- Hyperbaric Medicine
- Emergency Medicine
Background:
- Hyperbaric oxygen (HBO) therapy is a standard treatment for various conditions, including carbon monoxide (CO) poisoning.
- Atrial fibrillation (AF) is a common cardiac arrhythmia, but its association with HBO therapy has not been previously documented.
Observation:
- A 78-year-old female patient with severe CO poisoning presented with decreased consciousness.
- Initial electrocardiography (ECG) revealed normal sinus rhythm prior to HBO therapy.
Findings:
- Following HBO therapy, the patient developed AF, indicated by ECG.
- The patient's heart rhythm reverted to normal sinus rhythm after treatment with amiodarone.
Implications:
- This case suggests a potential association between HBO therapy and the development of AF.
- Routine ECG monitoring before and after HBO treatment is recommended for all patients to detect potential cardiac complications like AF.
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