title: The evaluation of myocardial damage in 83 young adults with carbon monoxide poisoning in the East Anatolia region in Turkey.
abstract: Carbon monoxide (CO) poisoning is the leading cause of death from intoxication. In CO poisoning, it is important to know if there are any symptoms regarding myocardial damage, which are usually unobserved as a result of hypoxia. This study was planned to assess myocardial damage in young healthy patients with CO poisoning. Eighty-three young healthy cases who had been exposed to CO were included in this study. The demographic and clinical characteristics, the origin of CO gas and smoking habits of the patients were recorded. The evaluation of ECG, peripheral ABG, complete blood count and serial cardiac biomarkers (creatine kinase, creatine kinase-myocardial band and troponin I) measurements were performed in all cases. Additionally, echocardiogram (ECHO) and myocardial perfusion single-photon emission computed tomography (SPECT) were performed at the appropriate times in all cases. The mean age of the patients was 27.3 +/- 10.9 years. The main complaint of the patients was loss of consciousness with a 62.7% rate. The average carboxyhaemoglobin level of the patients was 34.4 +/- 15.9%. Sinus tachycardia was present in 26.5% of patients. Diagnostic ischaemic ECG changes were present in 14.4% of patients. In myocardial SPECT, myocardial ischaemic damage was observed in 9 cases, in 6 of whom ECHO findings were also confirmed. Myocardial damage due to CO poisoning should not be ignored. If patients are at risk in terms of myocardial damage, further studies, such as ECHO and scintigraphy are needed to determine myocardial damage resulting from CO poisoning. However, in the young adults of the risk group, if the baseline ECG and serial cardiac biomarkers are normal, further studies such as ECHO and scintigraphy, considering the length of exposure and the severity of poisoning, may not be necessary for the evaluation of myocardial damage due to CO poisoning.
authors.affiliation: Department of Emergency Medicine, Ataturk University, School of Medicine, Erzurum, Turkey. saslan29@gmail.com
authors.forename: Sahin
authors.initials: S
authors.lastname: Aslan
authors.forename: Mustafa
authors.initials: M
authors.lastname: Uzkeser
authors.forename: Bedri
authors.initials: B
authors.lastname: Seven
authors.forename: Fuat
authors.initials: F
authors.lastname: Gundogdu
authors.forename: Hamit
authors.initials: H
authors.lastname: Acemoglu
authors.forename: Enbiya
authors.initials: E
authors.lastname: Aksakal
authors.forename: Erhan
authors.initials: E
authors.lastname: Varoglu
mesh_terms: D000293:Adolescent; D000328:Adult; D002249:Carbon Monoxide Poisoning / Q000097:blood / Q000150:complications* / Q000503:physiopathology; D002263:Carboxyhemoglobin / Q000032:analysis; D003402:Creatine Kinase / Q000097:blood; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000097:blood / Q000209:etiology* / Q000503:physiopathology; D019210:Troponin I / Q000097:blood; D014421:Turkey
chemical_list: D019210:Troponin I; D002263:Carboxyhemoglobin; D003402:Creatine Kinase