What Researchers Did
Doctors reported a patient in a coma from carbon monoxide poisoning who had unusual ECG changes that turned out to signal a stroke in the brain, and was successfully treated with HBOT.
What They Found
The patient had been exposed to CO for 24 hours before arriving at hospital in a coma. ECG showed an abnormal cerebral T-wave pattern, and MRI confirmed a cerebral infarction (stroke) caused by CO poisoning. After treatment with medications and HBOT, the patient made a full recovery.
Canadian Relevance
Carbon monoxide poisoning is an OHIP-covered indication for HBOT in Ontario.
Study Limitations
This is a single case report and cannot establish how often cerebral T-wave changes predict stroke in CO poisoning patients.