title: QT dispersion in carbon monoxide poisoning.
abstract: BACKGROUND
  Carbon monoxide (CO) poisoning are serious health problems, and effect of reducing the blood's oxygen carrying capacity. Deaths due to CO poisoning are mostly related to myocardial injury and central nervous system pathologies.
  
  
  OBJECTIVE
  The objective of this study was to determine the relationship between carbon monoxide intoxication, QT dispersion, and cardiac markers.
  
  
  METHODS
  Patients with possible CO intoxication symptoms were evaluated to be eligible for the study. Patients' demographic data, carboxyhemoglobin levels, cardiac markers and QT interval measurements were recorded to the study form.
  
  
  RESULTS
  A total of 127 patients (79 CO intoxicated and 48 controls) were included into the study with a mean age of 38.6 +/- 14.1 years and 62.2% of them were female. Average levels of patient's carboxyhemoglobin were 21.3 +/- 9. QT dispersion (39.0 +/- 10.8 vs 24.4 +/- 6.2; p < 0.001) and corrected QT dispersion (46.2 +/- 14.7 vs. 25.3 +/- 6.2; p < 0.001) were longer than the control group. Both QT dispersion (39.0 +/- 10.8 vs. 23.6 +/- 7.0; p < 0.001) or corrected QT dispersion (46.2 +/- 14.7 vs. 27.1 +/- 8.7; p < 0.001) were also decreased after one week later from the admission.
  
  
  CONCLUSIONS
  Carbon monoxide intoxication is related to increased QT dispersion. Emergency physicians should measure QT dispersion in CO intoxicated patients in order to predict the electrical instability in myocardium and future adverse events.
authors.affiliation: Department of Emergency Medicine, Sivas State Hospital, Sivas, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Atescelik
authors.forename: M N
authors.initials: MN
authors.lastname: Bozdemir
authors.forename: M
authors.initials: M
authors.lastname: Yildiz
authors.forename: S
authors.initials: S
authors.lastname: Gurbuz
authors.forename: M
authors.initials: M
authors.lastname: Ayranci
authors.forename: M C
authors.initials: MC
authors.lastname: Goktekin
authors.forename: M A
authors.initials: MA
authors.lastname: Kobat
authors.forename: M N
authors.initials: MN
authors.lastname: Dagli
authors.forename: C
authors.initials: C
authors.lastname: Eken
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000032:analysis; D002249:Carbon Monoxide Poisoning / Q000175:diagnosis / Q000503:physiopathology*; D002263:Carboxyhemoglobin / Q000032:analysis; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008133:Long QT Syndrome / Q000139:chemically induced / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
chemical_list: D015415:Biomarkers; D002263:Carboxyhemoglobin