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Archives of Disease in Childhood 2007;92:244-245; doi:10.1136/adc.2006.094193
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

CASE REPORT

Carbon monoxide poisoning mimicking long-QT induced syncope

Irene M Onvlee-Dekker1, Andrica C H De Vries1, A Derk Jan Ten Harkel2

1 Department of Pediatrics, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands
2 Department of Pediatric Cardiology, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands

Correspondence to:
Correspondence to:
Dr A D J Ten Harkel
Department of pediatric Cardiology, Erasmus MC-Sophia Children’s Hospital, Dr Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands; A.Tenharkel{at}erasmusmc.nl

ABSTRACT

Carbon monoxide (CO)poisoning is a rare cause of QT prolongation, and is therefore easily missed. The case of a patient with unexplained syncope and QT prologation on the electrocardiogram that turned out to be related to CO poisoning is reported here. In patients with QT prolongation, uncommon causes also should be looked for.

Abbreviations: COHb, carboxyhaemoglobin; ECG, electrocardiogram; QTc, corrected QT; QTcdisp, corrected QT dispersion


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