[Do the majority of senior patients with carbon monoxide poisoning suffer a cardiac infarction?].
The last few years have brought a real breakthrough in the approach to the instable coronary heart disease, understanding of its pathogenesis, diagnostics, differentiation and prognostication. In September 2000 the joint committees European Society of Cardiology and American College of Cardiology acknowledged the heart troponins as a golden standard in the recognition of cardiac infraction and proposed a new definition of infraction which replaced the WHO criteria binding from 1979. Due to high sensitivity and specificity, determination of the heart troponin makes it possible to recognize the muscle damage on a quite small area (small-area infraction). This will increase the number of recognitions of cardiac infraction and may significantly increase the frequency of recognition of this type of complication in patients with carbon monoxide poisoning, especially in a group of senior patients.
II Oddział Chorób Wewnetrznych i Ostrych Zatruć Szpital Wojewódzki im. św. Łukasza 33-100 Tarnów, ul. Lwowska 178a.
StanisŁaw
S
łata
Anna
A
Molczyk-Niedzwiecka
D000368:Aged; D015415:Biomarkers; D002249:Carbon Monoxide Poisoning / Q000150:complications*; D005260:Female; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality*; D006801:Humans; D008297:Male; D009206:Myocardium / Q000378:metabolism; D012680:Sensitivity and Specificity; D014336:Troponin / Q000378:metabolism
D015415:Biomarkers; D014336:Troponin